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General NPI Number Information
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NPI Number | 1346006285
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Entity Type | Individual
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Provider Name | ALYSSA KING DNP
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Gender | Female
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Dates
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Enumeration Date | 02/27/2024
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 2000 HOSPITAL DR
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City | SEDRO WOOLLEY
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State | WA
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Zip | 98284-4327
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Country | US
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Telephone | 360-856-6021
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Fax |
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Provider Business Mailing Address
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Address Line | 6141 CHURCH RD
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City | FERNDALE
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State | WA
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Zip | 98248-9690
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Country | US
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Telephone | 360-202-2717
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP61550191
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN60532458
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License Number State | WA
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