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General NPI Number Information
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NPI Number | 1154108751
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Entity Type | Organization
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Legal Business Name | INTIMATE INSIGHTS
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Dates
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Enumeration Date | 09/08/2023
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Last Update Date | 09/08/2023
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Provider Practice Location Address
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Address Line | 1616 W WELLESLEY AVE STE B
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City | SPOKANE
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State | WA
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Zip | 99205-1413
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Country | US
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Telephone | 509-795-0080
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Fax |
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Provider Business Mailing Address
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Address Line | 1616 W WELLESLEY AVE STE B
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City | SPOKANE
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State | WA
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Zip | 99205-1413
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Country | US
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Telephone | 509-995-5533
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Fax |
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | MS. LILA CARTHENS
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Credential |
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Telephone | 509-995-5533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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