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General NPI Number Information
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NPI Number | 1932865623
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Entity Type | Individual
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Provider Name | ALLONAH ROSE PODVIN RN
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Gender | Female
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Dates
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Enumeration Date | 11/17/2021
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 16516 SE MILL PLAIN BLVD # C208
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City | VANCOUVER
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State | WA
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Zip | 98684-9603
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Country | US
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Telephone | 360-500-2148
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 874114
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City | VANCOUVER
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State | WA
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Zip | 98687-4114
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Country | US
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Telephone |
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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 | 201803000RN
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | 201803000RN
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | RN60869413
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | 041.546543
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 163WN0003X
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Taxonomy Name | Low-Risk Neonatal Registered Nurse
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License Number | 201803000RN
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License Number State | OR
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Taxonomy #6
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Taxonomy Code | 163WN0003X
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Taxonomy Name | Low-Risk Neonatal Registered Nurse
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License Number | RN60869413
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License Number State | WA
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Taxonomy #7
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Taxonomy Code | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number | 041.546543
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License Number State | IL
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Taxonomy #8
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Taxonomy Code | 163WX0003X
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Taxonomy Name | Inpatient Obstetric Registered Nurse
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License Number | 041.546543
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License Number State | IL
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Taxonomy #9
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN60869413
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License Number State | WA
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