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General NPI Number Information
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NPI Number | 1124773890
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Entity Type | Individual
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Provider Name | MALYUN DAHIR YUSUF
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Gender | Female
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Dates
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Enumeration Date | 02/21/2022
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Last Update Date | 02/21/2022
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Provider Practice Location Address
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Address Line | 518 S 330TH PL
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City | FEDERAL WAY
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State | WA
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Zip | 98003-5900
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Country | US
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Telephone | 206-326-8904
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Fax |
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Provider Business Mailing Address
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Address Line | 518 S 330TH PL
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City | FEDERAL WAY
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State | WA
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Zip | 98003-5900
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Country | US
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Telephone | 206-326-8904
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-21-54881
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License Number State | WA
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