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General NPI Number Information
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NPI Number | 1619907110
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Entity Type | Individual
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Provider Name | LYNE ANN SCHAEFER ALFONSE ARNP
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Gender | Female
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 1229 MADISON ST STE 1450
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City | SEATTLE
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State | WA
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Zip | 98104-3538
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Country | US
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Telephone | 206-844-6001
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Fax | 206-844-6002
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Provider Business Mailing Address
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Address Line | 1101 MADISON ST #1000
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City | SEATTLE
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State | WA
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Zip | 98104-1306
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Country | US
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Telephone | 206-386-2001
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Fax | 206-386-2083
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP30007657
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License Number State | WA
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