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General NPI Number Information
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NPI Number | 1639269533
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Entity Type | Individual
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Provider Name | NAOMI WARD ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 09/15/2009
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Provider Practice Location Address
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Address Line | 401 S MAIN AVE
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City | DEER PARK
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State | WA
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Zip | 99006-0000
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Country | US
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Telephone | 509-434-0286
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Fax | 509-434-0286
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Provider Business Mailing Address
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Address Line | 203 N WASHINGTON ST SUITE 300
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City | SPOKANE
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State | WA
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Zip | 99201-0233
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Country | US
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Telephone | 509-444-8888
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Fax | 509-444-7806
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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 | RN00098061
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA10002776
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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License Number | AP30002106
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License Number State | WA
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