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General NPI Number Information
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NPI Number | 1548885064
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Entity Type | Organization
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Legal Business Name | ANNA E VAIL PMHNP, INC.
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Dates
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Enumeration Date | 06/10/2020
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 1205 32ND ST
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City | BELLINGHAM
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State | WA
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Zip | 98225-6917
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Country | US
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Telephone | 503-819-5412
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Fax |
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Provider Business Mailing Address
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Address Line | 1205 32ND ST
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City | BELLINGHAM
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State | WA
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Zip | 98225-6917
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Country | US
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Telephone | 360-207-6119
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Fax | 360-282-1268
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ANNA E VAIL
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Credential | ARNP, PMHNP
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Telephone | 360-207-6119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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