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General NPI Number Information
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NPI Number | 1790128056
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Entity Type | Individual
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Provider Name | ALLENE HEMINGWAY PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/16/2013
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 1002 39TH AVE SW STE 202
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City | PUYALLUP
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State | WA
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Zip | 98373-3805
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Country | US
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Telephone | 253-442-9313
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Fax | 253-215-2306
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Provider Business Mailing Address
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Address Line | 1002 39TH AVE SW STE 202
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City | PUYALLUP
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State | WA
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Zip | 98373-3805
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Country | US
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Telephone | 541-539-1319
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61466840
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 743757
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License Number State | CA
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