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General NPI Number Information
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NPI Number | 1134924319
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Entity Type | Individual
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Provider Name | JEANNETTE MARIE MEEKS AA-TVR AND BA-NSL
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Gender | Female
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 2209 E 32ND ST
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City | TACOMA
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State | WA
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Zip | 98404-4922
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Country | US
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Telephone | 253-593-0232
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Fax | 253-593-3311
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Provider Business Mailing Address
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Address Line | 5610 S M ST APT A
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City | TACOMA
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State | WA
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Zip | 98408-3400
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Country | US
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Telephone | 253-229-7889
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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 | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number |
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License Number State |
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