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General NPI Number Information
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NPI Number | 1083265771
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Entity Type | Individual
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Provider Name | EMORY LANEY STRICKLAND PSYD
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Gender | Male
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Dates
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Enumeration Date | 09/24/2019
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 7202 NE HIGHWAY 99 STE 106171
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City | VANCOUVER
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State | WA
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Zip | 98665-8932
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Country | US
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Telephone | 206-338-3990
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Fax |
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Provider Business Mailing Address
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Address Line | 7202 NE HIGHWAY 99 STE 106171
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City | VANCOUVER
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State | WA
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Zip | 98665-8932
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Country | US
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Telephone |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY60996150
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License Number State | WA
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