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General NPI Number Information
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NPI Number | 1508610445
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Entity Type | Individual
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Provider Name | CORINNE ALYSSA AUSTIN FNP
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Gender | Female
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Dates
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Enumeration Date | 04/16/2024
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 507 N SULLIVAN RD STE 20
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City | SPOKANE VALLEY
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State | WA
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Zip | 99037-8530
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Country | US
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Telephone | 434-282-4105
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Fax |
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Provider Business Mailing Address
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Address Line | 9918 N BLUFF VIEW DR
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City | HAUSER
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State | ID
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Zip | 83854-6585
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Country | US
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Telephone | 434-282-4105
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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 | AP61537381
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License Number State | WA
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