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General NPI Number Information
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NPI Number | 1912189614
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Entity Type | Individual
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Provider Name | VALERIE VERENA HAYNES RN
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Gender | Female
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Dates
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Enumeration Date | 12/04/2007
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Last Update Date | 12/04/2007
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Provider Practice Location Address
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Address Line | 9600 VETERANS DRIVE
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City | TACOMA
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State | WA
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Zip | 98493-0001
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Country | US
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Telephone | 253-583-1727
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Fax |
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Provider Business Mailing Address
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Address Line | 10502 90TH AVE SW
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City | LAKEWOOD
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State | WA
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Zip | 98498-3721
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Country | US
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Telephone | 253-581-8585
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN00114565
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License Number State | WA
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