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General NPI Number Information
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NPI Number | 1114250495
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Entity Type | Individual
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Provider Name | DANIEL A TOMCZYK PH.D.
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Gender | Male
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Dates
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Enumeration Date | 09/17/2009
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Last Update Date | 12/20/2023
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Provider Practice Location Address
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Address Line | 8275 166TH AVE NE STE 200
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City | REDMOND
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State | WA
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Zip | 98052-6629
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Country | US
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Telephone | 425-869-2644
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Fax | 425-867-0930
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Provider Business Mailing Address
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Address Line | 8275 166TH AVE NE STE 200
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City | REDMOND
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State | WA
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Zip | 98052-6629
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Country | US
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Telephone | 425-869-2644
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Fax | 425-867-0930
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY60620631
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License Number State | WA
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