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General NPI Number Information
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NPI Number | 1700436367
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Entity Type | Individual
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Provider Name | DANIELLE ROCHE PASCHALL DNP, ARNP, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/16/2019
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | 510 E MAIN STE D
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City | PUYALLUP
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State | WA
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Zip | 98372-5612
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Country | US
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Telephone | 253-904-4138
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Fax | 253-323-1011
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Provider Business Mailing Address
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Address Line | 1675 PEERLESS RD
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City | BEDFORD
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State | IN
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Zip | 47421-9063
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Country | US
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Telephone | 253-904-4138
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Fax | 253-323-1011
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61004475
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License Number State | WA
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