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General NPI Number Information
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NPI Number | 1780636118
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Entity Type | Individual
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Provider Name | CHRISTINE LEE ANDERSON ARNP
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Gender | Female
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 07/20/2011
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Provider Practice Location Address
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Address Line | 2979 SQUALICUM PKWY SUITE 101
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City | BELLINGHAM
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State | WA
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Zip | 98225-1811
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Country | US
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Telephone | 360-734-2700
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Fax | 360-734-8362
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Provider Business Mailing Address
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Address Line | PO BOX 5096
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City | BELLINGHAM
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State | WA
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Zip | 98227-5096
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Country | US
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Telephone | 360-734-2700
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Fax | 360-734-8362
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP30006916
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License Number State | WA
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