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Individual
PAUL D. FOUCAULT
Active
Individual
PAUL D. FOUCAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00133865
WA
363L00000X
Nurse Practitioner
Primary
AP30006276
WA
363LF0000X
Family Nurse Practitioner
AP30006276
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0178399
LABOR & INDUSTRIES
WA
01
—
39081U
REGENCE BLUESHIELD
WA
05
—
9639642
—
WA
Enumeration date
07/10/2006
Last updated
11/05/2007
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