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General NPI Number Information
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NPI Number | 1982892568
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Entity Type | Individual
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Provider Name | CARRIE DEANN DAHLGREN LMP
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Gender | Female
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 10/09/2007
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Provider Practice Location Address
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Address Line | 8512 242ND ST SW UNIT 7
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City | EDMONDS
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State | WA
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Zip | 98026-9076
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Country | US
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Telephone | 425-275-2606
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Fax |
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Provider Business Mailing Address
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Address Line | 3333 184TH ST SW STE E
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City | LYNNWOOD
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State | WA
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Zip | 98037-4717
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Country | US
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Telephone | 425-771-2626
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Fax | 425-771-2611
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MA00022288
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License Number State | WA
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