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General NPI Number Information
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NPI Number | 1679495246
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Entity Type | Individual
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Provider Name | EMILY SUSANNE BASSETT
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Gender | Female
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 201 7TH ST
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City | HOQUIAM
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State | WA
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Zip | 98550-2506
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Country | US
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Telephone | 360-532-5454
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Fax |
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Provider Business Mailing Address
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Address Line | 34612 STACKPOLE RD
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City | OCEAN PARK
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State | WA
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Zip | 98640-5908
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Country | US
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Telephone |
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 10059792
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 214430
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License Number State | TX
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