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NPI 1750390332

NPI 1750390332 : BRET LYNN PRICE ARNP : LAKEBAY, WA

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General NPI Number Information
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    NPI Number           |    1750390332
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    Entity Type          |    Individual 
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    Provider Name        |    BRET LYNN PRICE ARNP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/05/2006
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    Last Update Date     |    02/08/2023
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Provider Practice Location Address
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    Address Line         |    8903 KEY PENINSULA HWY NW 
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    City                 |    LAKEBAY
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    State                |    WA
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    Zip                  |    98349-9326
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    Country              |    US
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    Telephone            |    253-884-3400
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    Fax                  |    253-884-3404
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Provider Business Mailing Address
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    Address Line         |    8903 KEY PENINSULA HWY N 
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    City                 |    LAKEBAY
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    State                |    WA
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    Zip                  |    98349-9326
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    Country              |    US
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    Telephone            |    253-884-3400
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    Fax                  |    253-884-3404
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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        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    AP30006026
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    AP30006026
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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       |    AP30006026
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    License Number State |    WA
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