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General NPI Number Information
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NPI Number | 1932124773
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Entity Type | Individual
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Provider Name | LORI ANNE TAGGART A.R.N.P.
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Gender | Female
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 04/07/2021
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Provider Practice Location Address
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Address Line | 16122 8TH AVE SW SUITE E-1
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City | BURIEN
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State | WA
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Zip | 98166-2967
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Country | US
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Telephone | 206-246-2291
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Fax | 206-246-2421
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Provider Business Mailing Address
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Address Line | 28371 23RD AVE S
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City | FEDERAL WAY
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State | WA
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Zip | 98003-2967
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Country | US
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Telephone | 253-941-6900
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Fax | 206-246-2421
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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 | AP30003281
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License Number State | WA
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