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General NPI Number Information
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NPI Number | 1902895428
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Entity Type | Individual
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Provider Name | LORI A NELSON ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/18/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 9750 LEVIN RD NW
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City | SILVERDALE
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State | WA
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Zip | 98383-8399
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Country | US
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Telephone | 360-307-7202
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Fax | 360-698-6600
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Provider Business Mailing Address
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Address Line | 9750 LEVIN RD NW
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City | SILVERDALE
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State | WA
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Zip | 98383-8399
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Country | US
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Telephone | 360-307-7202
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Fax | 360-698-6600
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | AP30003851
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License Number State | WA
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