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General NPI Number Information
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NPI Number | 1336476233
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Entity Type | Individual
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Provider Name | BROOK HUTTON OTT ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/12/2009
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 101 N MAIN ST
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City | COUPEVILLE
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State | WA
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Zip | 98239-3413
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Country | US
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Telephone | 360-914-5634
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Fax | 360-678-7621
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Provider Business Mailing Address
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Address Line | 700 LILLY RD NE
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City | OLYMPIA
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State | WA
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Zip | 98506-5115
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Country | US
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Telephone | 360-923-7300
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Fax | 360-923-7399
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 60084268
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 60117239
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License Number State | WA
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