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General NPI Number Information
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NPI Number | 1740164581
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Entity Type | Individual
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Provider Name | KARIANN LYNN LARSON ARNP
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Gender | Female
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 915 ANDERSON DR
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City | ABERDEEN
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State | WA
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Zip | 98520-1006
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Country | US
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Telephone | 360-532-8330
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Fax |
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Provider Business Mailing Address
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Address Line | 609 N L ST
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City | ABERDEEN
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State | WA
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Zip | 98520-3317
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Country | US
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Telephone | 360-581-1192
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP70024711
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License Number State | WA
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