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General NPI Number Information
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NPI Number | 1962860346
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Entity Type | Individual
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Provider Name | MELANIE CLAUSON ARNP
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Gender | Female
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Dates
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Enumeration Date | 02/01/2016
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Last Update Date | 03/22/2021
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Provider Practice Location Address
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Address Line | 915 BROADWAY ST STE 137
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City | VANCOUVER
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State | WA
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Zip | 98660-3278
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Country | US
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Telephone | 888-316-0451
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Fax |
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Provider Business Mailing Address
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Address Line | 5125 DEMARIE CT SE
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City | OLYMPIA
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State | WA
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Zip | 98501-5079
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Country | US
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Telephone | 360-508-0911
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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 | AP60536317
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License Number State | WA
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