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General NPI Number Information
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NPI Number | 1407684830
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Entity Type | Individual
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Provider Name | MATTISEN ROSE SEPT ZIEGLER FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/25/2024
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Last Update Date | 08/26/2024
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Provider Practice Location Address
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Address Line | 1389 HUFFMAN PARK DR STE 110
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City | ANCHORAGE
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State | AK
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Zip | 99515-3519
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Country | US
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Telephone | 888-227-3312
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Fax | 503-893-6847
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Provider Business Mailing Address
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Address Line | PO BOX 2928
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City | PORTLAND
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State | OR
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Zip | 97208-2928
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Country | US
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Telephone | 425-207-5155
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 227114
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 227114
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 227114
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License Number State | AK
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