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General NPI Number Information
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NPI Number | 1750902383
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Entity Type | Individual
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Provider Name | ALISON DEMIERO RN, ARNP
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Gender | Female
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Dates
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Enumeration Date | 05/05/2020
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Last Update Date | 09/28/2022
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Provider Practice Location Address
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Address Line | 16521 84TH AVENUE CT E
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City | PUYALLUP
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State | WA
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Zip | 98375-6294
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Country | US
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Telephone | 253-330-9921
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Fax |
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Provider Business Mailing Address
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Address Line | 16521 84TH AVENUE CT E
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City | PUYALLUP
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State | WA
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Zip | 98375-6294
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Country | US
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Telephone |
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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 | 53-81583-122
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61358869
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN60306746
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License Number State | WA
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