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General NPI Number Information
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NPI Number | 1417715780
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Entity Type | Individual
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Provider Name | TAWNEE TIDD ARNP
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Gender | Female
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 246 N MISSION ST
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City | WENATCHEE
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State | WA
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Zip | 98801-2004
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Country | US
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Telephone | 509-662-1955
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Fax |
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Provider Business Mailing Address
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Address Line | 16637 ROAD 9 NW
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City | QUINCY
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State | WA
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Zip | 98848-9605
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP61531806
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License Number State | WA
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