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General NPI Number Information
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NPI Number | 1508049917
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Entity Type | Organization
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Legal Business Name | NORTH WEST ASTHMA ALLERGY CENTER PC
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Dates
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Enumeration Date | 12/07/2007
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Last Update Date | 11/02/2023
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Provider Practice Location Address
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Address Line | 8506 E MILL PLAIN BLVD SUITE A
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City | VANCOUVER
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State | WA
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Zip | 98664
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Country | US
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Telephone | 360-896-2222
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Fax | 360-896-8881
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Provider Business Mailing Address
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Address Line | 8506 E MILL PLAIN BLVD SUITE A
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City | VANCOUVER
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State | WA
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Zip | 98664
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Country | US
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Telephone | 360-896-2222
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Fax | 360-896-8881
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Authorized Official
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Title or Position | DNP
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Name | OLGA P TSYTSYNA
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Credential | DNP
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Telephone | 360-896-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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