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General NPI Number Information
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NPI Number | 1396347274
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Entity Type | Individual
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Provider Name | BRANDI ELIZABETH THOMSEN NC.60463036
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Gender | Female
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Dates
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Enumeration Date | 11/15/2020
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Last Update Date | 11/15/2020
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Provider Practice Location Address
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Address Line | 92 PARK AVE NW
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City | GIG HARBOR
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State | WA
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Zip | 98335-5941
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Country | US
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Telephone | 253-432-3145
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Fax |
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Provider Business Mailing Address
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Address Line | 6824 150TH ST SW APT 9
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City | LAKEWOOD
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State | WA
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Zip | 98439-2434
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Country | US
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Telephone | 253-359-8304
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | NC.60463036
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License Number State | WA
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