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General NPI Number Information
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NPI Number | 1730752437
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Entity Type | Individual
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Provider Name | ALYSSA CLARAVALL APRN,FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/20/2021
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 4145 SW WATSON AVE STE 350
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City | BEAVERTON
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State | OR
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Zip | 97005-2191
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Country | US
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Telephone | 866-849-0692
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Fax | 888-973-8821
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Provider Business Mailing Address
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Address Line | PO BOX 211699
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City | EAGAN
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State | MN
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Zip | 55121-3699
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Country | US
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Telephone | 866-849-0692
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Fax | 888-973-8821
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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 | 1181560
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP61616257
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN-4595
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License Number State | HI
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 202105378NP-PP
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License Number State | OR
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 303200
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License Number State | AZ
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN.0-999621-NP
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License Number State | CO
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