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General NPI Number Information
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NPI Number | 1942387550
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Entity Type | Individual
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Provider Name | DIANA LYNN STONE-POORE MSN, ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 05/18/2008
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Provider Practice Location Address
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Address Line | 33501 1ST WAY S
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City | FEDERAL WAY
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State | WA
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Zip | 98003-6208
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Country | US
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Telephone | 253-874-1638
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Fax |
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Provider Business Mailing Address
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Address Line | 32913 49TH PL SW
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City | FEDERAL WAY
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State | WA
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Zip | 98023-3326
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Country | US
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Telephone | 253-815-0104
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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 | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number | AP30003405
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP30003405
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License Number State | WA
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