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General NPI Number Information
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NPI Number | 1508829367
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Entity Type | Individual
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Provider Name | IRENA ALEXANDRA WRIGHT ARNP
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Gender | Female
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 10/26/2007
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Provider Practice Location Address
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Address Line | 1011 E MAIN AVE SUITE 302
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City | PUYALLUP
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State | WA
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Zip | 98372-6775
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Country | US
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Telephone | 253-841-2471
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Fax | 253-841-2472
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Provider Business Mailing Address
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Address Line | 1011 MAIN AVE E STE 302
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City | PUYALLUP
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State | WA
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Zip | 98372-6775
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Country | US
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Telephone | 253-841-2471
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Fax | 253-841-2472
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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 | AP30005672
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License Number State | WA
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