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General NPI Number Information
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NPI Number | 1578274080
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Entity Type | Individual
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Provider Name | KARLA LEEANN HANSEN ARNP
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Gender | Female
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Dates
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Enumeration Date | 12/06/2022
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Last Update Date | 12/06/2022
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Provider Practice Location Address
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Address Line | 2199 N MERRIT CRK LOOP
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City | COEUR D ALENE
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State | ID
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Zip | 83814-4949
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Country | US
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Telephone | 208-665-7546
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Fax |
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Provider Business Mailing Address
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Address Line | 1220 S NEWER RD
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City | SPOKANE VALLEY
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State | WA
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Zip | 99037-9731
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Country | US
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Telephone | 509-710-0990
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 67775
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN60717435
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP61348708
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 67775
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License Number State | ID
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