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General NPI Number Information
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NPI Number | 1053918698
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Entity Type | Organization
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Legal Business Name | DISCOVERY PRACTICE MANAGEMENT, INC.
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Dates
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Enumeration Date | 10/06/2020
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Last Update Date | 10/06/2020
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Provider Practice Location Address
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Address Line | 40903 236TH AVE SE
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City | ENUMCLAW
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State | WA
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Zip | 98022-8606
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Country | US
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Telephone | 360-218-2832
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Fax |
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Provider Business Mailing Address
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Address Line | 4281 KATELLA AVE STE 111
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-3588
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Country | US
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Telephone | 562-588-4722
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF BUSINESS DEVELOPMENT
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Name | NATALIE BRYANT
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Credential |
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Telephone | 562-588-4722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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