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General NPI Number Information
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NPI Number | 1770972481
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Entity Type | Individual
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Provider Name | LISA DEMING MCCABE ARNP
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Gender | Female
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Dates
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Enumeration Date | 01/19/2015
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 12728 19TH AVE SE STE 200
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City | EVERETT
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State | WA
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Zip | 98208-6676
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Country | US
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Telephone | 425-225-2700
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Fax | 425-225-2790
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Provider Business Mailing Address
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Address Line | PO BOX 31001
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City | PASADENA
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State | CA
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Zip | 91110-4114
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Country | US
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Telephone | 866-747-2455
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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 | AP60529816
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License Number State | WA
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