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General NPI Number Information
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NPI Number | 1962549824
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Entity Type | Individual
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Provider Name | CONSTANCE MORRISON-HOOGSTEDE ARNP
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Gender | Female
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 11/10/2011
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Provider Practice Location Address
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Address Line | 2720 CLARE AVE SUITE A
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City | BREMERTON
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State | WA
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Zip | 98310-3374
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Country | US
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Telephone | 360-479-6154
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Fax | 360-479-5728
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Provider Business Mailing Address
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Address Line | 2520 CHERRY AVE
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City | BREMERTON
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State | WA
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Zip | 98310-4229
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Country | US
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Telephone | 360-377-3911
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Fax | 360-479-5728
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 025801RN00073531
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License Number State | WA
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