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General NPI Number Information
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NPI Number | 1861154577
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Entity Type | Individual
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Provider Name | DAVID P TWIETMEYER NP
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Gender | Male
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Dates
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Enumeration Date | 10/10/2021
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Last Update Date | 02/15/2023
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Provider Practice Location Address
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Address Line | 2420 S UNION AVE STE 120
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City | TACOMA
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State | WA
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Zip | 98405-1322
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Country | US
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Telephone | 253-563-0198
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Fax |
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Provider Business Mailing Address
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Address Line | 5414 DISCOVERY ST E
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City | FIFE
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State | WA
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Zip | 98424-3802
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Country | US
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Telephone | 253-466-8183
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Fax | 206-212-8447
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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 | 363LS0200X
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Taxonomy Name | School Nurse Practitioner
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License Number | RN60371368
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61396149
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License Number State | WA
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