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General NPI Number Information
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NPI Number | 1710791041
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Entity Type | Individual
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Provider Name | TEFFANIE LENE LLAMADA REPASZ ARNP
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Gender | Female
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Dates
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Enumeration Date | 02/06/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 4205 KITSAP WAY
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City | BREMERTON
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State | WA
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Zip | 98312-2447
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Country | US
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Telephone | 360-782-7780
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Fax |
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Provider Business Mailing Address
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Address Line | 8908 BETHEL BURLEY RD SE
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City | PORT ORCHARD
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State | WA
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Zip | 98367-7815
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Country | US
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Telephone | 360-434-2146
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61639870
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP61639870
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License Number State | WA
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