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General NPI Number Information
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NPI Number | 1396634218
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Entity Type | Individual
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Provider Name | LAUREN ALESSANDRA BERG RN
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Gender | Female
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Dates
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Enumeration Date | 07/03/2025
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 5633 N LIDGERWOOD ST
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City | SPOKANE
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State | WA
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Zip | 99208-1224
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Country | US
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Telephone | 509-482-2461
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Fax |
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Provider Business Mailing Address
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Address Line | 718 E 40TH AVE
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City | SPOKANE
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State | WA
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Zip | 99203-2904
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Country | US
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Telephone | 509-218-4315
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | RN.RN.61378052
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License Number State | WA
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