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General NPI Number Information
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NPI Number | 1386698900
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Entity Type | Individual
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Provider Name | WENDY ANNE MASON ARNP
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Gender | Female
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 832 SHARON AVE E SUITE D
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City | MOSES LAKE
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State | WA
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Zip | 98837-2442
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Country | US
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Telephone | 509-764-4800
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Fax | 509-764-4801
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Provider Business Mailing Address
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Address Line | 1300 W MARINA DR HOUSE #28
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City | MOSES LAKE
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State | WA
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Zip | 98837-3920
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Country | US
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Telephone | 509-764-0186
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP30007159
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License Number State | WA
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