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General NPI Number Information
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NPI Number | 1346835238
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Entity Type | Individual
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Provider Name | LISA DANIELLE DESMARAIS CNM
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Gender | Female
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Dates
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Enumeration Date | 03/03/2021
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 400 NE MOTHER JOSEPH PL
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City | VANCOUVER
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State | WA
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Zip | 98664-3200
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Country | US
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Telephone | 360-514-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 6907 NE 134TH ST
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City | VANCOUVER
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State | WA
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Zip | 98686-2960
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Country | US
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Telephone | 248-730-4444
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 0996291
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | ARNP.AP.70004492-CNM
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License Number State | WA
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