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General NPI Number Information
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NPI Number | 1609327030
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Entity Type | Individual
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Provider Name | BRIANNA HARVEY ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/20/2016
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Last Update Date | 10/20/2016
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Provider Practice Location Address
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Address Line | 1202 MARTIN LUTHER KING JR WAY
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City | TACOMA
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State | WA
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Zip | 98405-3926
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Country | US
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Telephone | 253-441-4742
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Fax |
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Provider Business Mailing Address
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Address Line | 10006A LANTERN ST
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City | JOINT BASE LEWIS MCCHORD
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State | WA
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Zip | 98433
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Country | US
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Telephone | 310-924-7515
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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 | RN60278249
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP60683668
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License Number State | WA
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