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General NPI Number Information
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NPI Number | 1477504470
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Entity Type | Individual
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Provider Name | DESIREE ANN WEBSTER RD, CDE
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Gender | Female
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Dates
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Enumeration Date | 05/14/2006
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 1223 E DIVISION ST
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City | MOUNT VERNON
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State | WA
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Zip | 98274-4101
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Country | US
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Telephone | 360-428-6707
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Fax | 360-428-7847
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Provider Business Mailing Address
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Address Line | 4720 CYPRESS DR
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City | ANACORTES
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State | WA
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Zip | 98221-1113
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Country | US
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Telephone | 360-770-5459
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Fax | 360-428-7847
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DI00001567
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License Number State | WA
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