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General NPI Number Information
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NPI Number | 1194387332
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Entity Type | Organization
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Legal Business Name | DIALOGICAL THERAPY, PLLC
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Dates
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Enumeration Date | 07/08/2019
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Last Update Date | 10/04/2023
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Provider Practice Location Address
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Address Line | 19410 HIGHWAY 99 STE A263
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City | LYNNWOOD
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State | WA
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Zip | 98036-5102
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Country | US
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Telephone | 253-212-3101
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Fax | 253-212-3225
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Provider Business Mailing Address
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Address Line | 19410 HIGHWAY 99 STE A263
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City | LYNNWOOD
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State | WA
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Zip | 98036-5102
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Country | US
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Telephone | 253-212-3101
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Fax | 253-212-3225
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | FLETCHER B TAYLOR
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Credential | MD
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Telephone | 253-212-3101
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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