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General NPI Number Information
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NPI Number | 1861519837
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Entity Type | Individual
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Provider Name | SALLY M PLUMLY ARNP
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Gender | Female
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 325 E PIONEER
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City | PUYALLUP
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State | WA
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Zip | 98372-3265
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Country | US
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Telephone | 253-697-8400
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Fax | 253-697-8590
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Provider Business Mailing Address
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Address Line | 325 E PIONEER
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City | PUYALLUP
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State | WA
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Zip | 98372-3265
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Country | US
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Telephone | 253-697-8400
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Fax | 253-697-8590
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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 | AP30002441
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License Number State | WA
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