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General NPI Number Information
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NPI Number | 1295277325
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Entity Type | Individual
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Provider Name | COLLEEN M SILVA LPN
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Gender | Female
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Dates
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Enumeration Date | 11/07/2016
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Last Update Date | 11/07/2016
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Provider Practice Location Address
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Address Line | 9040 JACKSON AVE, ATTN: MCHJ-CLQ-C MADIGAN ARMY MEDICAL CENTER
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City | TACOMA
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State | WA
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Zip | 98341-1100
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Country | US
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Telephone | 253-651-4416
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Fax |
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Provider Business Mailing Address
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Address Line | 7216 66TH AVE W
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City | LAKEWOOD
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State | WA
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Zip | 98499-8327
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Country | US
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Telephone | 253-983-0959
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LP00046178
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License Number State | WA
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