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General NPI Number Information
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NPI Number | 1023890258
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Entity Type | Organization
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Legal Business Name | IN THE HEART OF THE WOODS PSYCHOLOGY PLLC
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Dates
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Enumeration Date | 10/23/2023
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Last Update Date | 04/05/2024
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Provider Practice Location Address
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Address Line | 1102 A ST STE 302
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City | TACOMA
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State | WA
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Zip | 98402-5001
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Country | US
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Telephone | 253-843-7791
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Fax | 253-201-4818
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Provider Business Mailing Address
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Address Line | 1102 A ST STE 302
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City | TACOMA
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State | WA
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Zip | 98402-5001
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Country | US
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Telephone | 253-843-7791
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Fax | 253-201-4818
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. ERIN C TANSILL
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Credential | PHD
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Telephone | 253-843-7791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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