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General NPI Number Information
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NPI Number | 1871688689
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Entity Type | Individual
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Provider Name | CAROL DILLON MCCAHON ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 04/15/2015
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Provider Practice Location Address
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Address Line | 930 N. BROADWAY
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City | EVERETT
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State | WA
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Zip | 98201
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Country | US
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Telephone | 425-317-0310
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Fax | 425-317-0303
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Provider Business Mailing Address
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Address Line | PO BOX 3360
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City | PORTLAND
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State | OR
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Zip | 97208-3360
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Country | US
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Telephone | 866-366-2983
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 08472
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License Number State | OH
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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 | AP60107871
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License Number State | WA
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