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General NPI Number Information
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NPI Number | 1336780105
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Entity Type | Individual
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Provider Name | ALLISON ARENDS NP
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Gender | Female
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Dates
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Enumeration Date | 10/03/2019
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 1900 WOODLAND DR
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City | COOS BAY
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State | OR
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Zip | 97420-2099
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Country | US
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Telephone | 541-267-5151
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Fax | 541-266-4502
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Provider Business Mailing Address
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Address Line | 1900 WOODLAND DR
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City | COOS BAY
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State | OR
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Zip | 97420-2099
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Country | US
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Telephone | 541-267-5151
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Fax | 541-266-4502
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 2019038069
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 363LG0600X
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 10041951
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License Number State | OR
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