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General NPI Number Information
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NPI Number | 1831152065
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Entity Type | Individual
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Provider Name | ALICE M INOUYE M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 15214 AURORA AVE N
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City | SHORELINE
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State | WA
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Zip | 98133-6143
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Country | US
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Telephone | 206-518-9021
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Fax | 415-252-7176
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Provider Business Mailing Address
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Address Line | 2000 HEALTH PARK DR FL HP2
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City | BRENTWOOD
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State | TN
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Zip | 37027-4525
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Country | US
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Telephone | 615-373-7600
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Fax | 877-767-2310
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101045249
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License Number State | VA
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