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General NPI Number Information
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NPI Number | 1568864320
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Entity Type | Organization
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Legal Business Name | PIPERNP PSYCHIATRY SERVICES
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Dates
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Enumeration Date | 09/23/2014
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Last Update Date | 12/10/2014
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Provider Practice Location Address
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Address Line | 5512 NE 109TH CT SUITE A1
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City | VANCOUVER
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State | WA
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Zip | 98662-6175
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Country | US
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Telephone | 360-254-0493
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Fax | 360-419-5252
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Provider Business Mailing Address
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Address Line | 5512 NE 109TH CT SUITE A1
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City | VANCOUVER
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State | WA
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Zip | 98662-6175
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Country | US
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Telephone | 360-836-8162
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Fax | 360-419-5252
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MRS. PIPER BUERSMEYER
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Credential | ARNP
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Telephone | 360-836-8162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP60211815
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License Number State | WA
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