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General NPI Number Information
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NPI Number | 1891090791
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Entity Type | Organization
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Legal Business Name | LISA J. TRIGG, PHD, ARNP, PLLC
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Dates
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Enumeration Date | 01/24/2011
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Last Update Date | 05/23/2011
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Provider Practice Location Address
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Address Line | 2719 E MADISON ST SUITE 301
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City | SEATTLE
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State | WA
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Zip | 98112-4752
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Country | US
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Telephone | 206-701-9456
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Fax | 866-361-6061
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Provider Business Mailing Address
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Address Line | 2719 E MADISON ST SUITE 301
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City | SEATTLE
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State | WA
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Zip | 98112-4752
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Country | US
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Telephone | 206-701-9456
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LISA J TRIGG
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Credential | PHD, ARNP
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Telephone | 206-701-9456
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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 | AP30006511
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License Number State | WA
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