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General NPI Number Information
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NPI Number | 1942940739
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Entity Type | Individual
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Provider Name | ALEXA LEIGH VOSS
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Gender | Female
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Dates
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Enumeration Date | 03/30/2022
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Last Update Date | 05/03/2024
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Provider Practice Location Address
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Address Line | 2109 W DOLARWAY RD
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City | ELLENSBURG
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State | WA
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Zip | 98926-9367
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Country | US
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Telephone | 509-968-5086
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Fax |
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Provider Business Mailing Address
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Address Line | 15 S GRADY WAY STE 625
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City | RENTON
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State | WA
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Zip | 98057-3281
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Country | US
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Telephone | 425-919-6826
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61275769
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License Number State | WA
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