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General NPI Number Information
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NPI Number | 1144608373
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Entity Type | Individual
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Provider Name | JOSEPH JENKS LAMFT
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Gender | Male
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Dates
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Enumeration Date | 05/07/2015
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Last Update Date | 05/07/2015
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Provider Practice Location Address
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Address Line | 9825 SANDIFUR PKWY STE D
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City | PASCO
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State | WA
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Zip | 99301-6738
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Country | US
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Telephone | 509-593-1165
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Fax |
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Provider Business Mailing Address
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Address Line | 5411 COOLIDGE CT
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City | PASCO
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State | WA
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Zip | 99301-8483
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Country | US
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Telephone | 509-416-9097
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MG60213170
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License Number State | WA
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