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General NPI Number Information
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NPI Number | 1952118853
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Entity Type | Individual
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Provider Name | ASHLEY STARR BRYANT RN
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Gender | Female
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Dates
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Enumeration Date | 12/13/2024
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 1901 S UNION AVE STE 1
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City | TACOMA
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State | WA
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Zip | 98405-1053
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Country | US
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Telephone | 253-459-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 4706 PLEASANT HILL RD
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City | KELSO
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State | WA
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Zip | 98626-9314
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Country | US
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Telephone | 360-751-1540
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP70038624
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN61469277
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License Number State | WA
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