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General NPI Number Information
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NPI Number | 1164645842
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Entity Type | Organization
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Legal Business Name | STEPHEN M LANGER PHD P S
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 01/19/2024
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Provider Practice Location Address
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Address Line | 1021 LEGION WAY SE
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City | OLYMPIA
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State | WA
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Zip | 98501-1522
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Country | US
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Telephone | 360-754-8540
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Fax | 360-486-0116
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Provider Business Mailing Address
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Address Line | 1021 LEGION WAY SE
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City | OLYMPIA
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State | WA
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Zip | 98501-1522
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Country | US
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Telephone | 360-754-8540
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Fax | 360-486-0116
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEPHEN MARC LANGER
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Credential | PH.D.
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Telephone | 360-754-8540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY00000929
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License Number State | WA
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