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General NPI Number Information
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NPI Number | 1760576474
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Entity Type | Individual
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Provider Name | NANCY HOOVER LLEWELLYN M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 07/13/2011
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Provider Practice Location Address
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Address Line | 912 32ND ST STE A
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City | ANACORTES
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State | WA
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Zip | 98221-3473
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Country | US
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Telephone | 360-293-4343
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Fax |
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Provider Business Mailing Address
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Address Line | 912 32ND ST. STE A
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City | ANACORTES
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State | WA
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Zip | 98221
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Country | US
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Telephone | 360-293-4343
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD00027709
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License Number State | WA
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