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General NPI Number Information
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NPI Number | 1417192881
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Entity Type | Individual
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Provider Name | HEATHER ANN SCHLESSMAN CPNP
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Gender | Female
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Dates
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Enumeration Date | 12/12/2008
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 7424 BRIDGEPORT WAY W
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City | LAKEWOOD
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State | WA
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Zip | 98499-8120
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Country | US
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Telephone | 535-812-1112
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Fax | 253-581-2712
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Provider Business Mailing Address
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Address Line | 1115 SE 164TH AVE DEPT 358
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City | VANCOUVER
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State | WA
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Zip | 98683-8004
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Country | US
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Telephone | 541-222-8500
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Fax | 541-222-6435
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 200050039NP
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | AP61559023
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License Number State | WA
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