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General NPI Number Information
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NPI Number | 1174996383
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Entity Type | Individual
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Provider Name | VIVIAN MUNERA-SPEARS LPC
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Gender | Female
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Dates
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Enumeration Date | 11/10/2015
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | MADIGAN ARMY MEDICAL CENTER
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City | TACOMA
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State | WA
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Zip | 98431-2300
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Country | US
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Telephone | 253-968-2252
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Fax |
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Provider Business Mailing Address
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Address Line | MADIGAN ARMY MEDICAL CENTER 904 JACKSON AVE
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City | TACOMA
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State | WA
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Zip | 98431-0001
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Country | US
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Telephone | 254-247-5550
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Fax | 254-415-7326
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 60734649
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 11821
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 68214
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License Number State | TX
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