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General NPI Number Information
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NPI Number | 1174164081
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Entity Type | Individual
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Provider Name | SAARA ALYSSA ABDALKHANI
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Gender | Female
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Dates
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Enumeration Date | 10/02/2019
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Last Update Date | 09/15/2023
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Provider Practice Location Address
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Address Line | 9202 176TH ST E APT 94
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City | PUYALLUP
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State | WA
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Zip | 98375-9042
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Country | US
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Telephone | 425-314-9187
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Fax |
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Provider Business Mailing Address
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Address Line | 100 N HOWARD ST STE W
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City | SPOKANE
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State | WA
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Zip | 99201-0508
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Country | US
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Telephone | 973-739-8375
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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 | MG61464633
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License Number State | WA
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