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NPI 1811408297

NPI 1811408297 : TMS NW PLLC : VANCOUVER, WA

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General NPI Number Information
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    NPI Number           |    1811408297
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    Entity Type          |    Organization 
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    Legal Business Name  |    TMS NW PLLC 
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Dates
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    Enumeration Date     |    10/12/2017
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    Last Update Date     |    10/13/2021
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Provider Practice Location Address
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    Address Line         |    5512 NE 109TH CT STE N 
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    City                 |    VANCOUVER
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    State                |    WA
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    Zip                  |    98662-6175
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    Country              |    US
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    Telephone            |    360-719-2449
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    Fax                  |    360-356-1124
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Provider Business Mailing Address
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    Address Line         |    5512 NE 109TH CT STE N 
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    City                 |    VANCOUVER
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    State                |    WA
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    Zip                  |    98662-6175
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    Country              |    US
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    Telephone            |    360-719-2449
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    Fax                  |    360-356-1124
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Authorized Official
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    Title or Position    |    CO-OWNER
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    Name                 |     PIPER  BUERSMEYER 
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    Credential           |    PMHNP, ARNP
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    Telephone            |    360-719-2449
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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       |    
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    License Number State |    
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