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General NPI Number Information
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NPI Number | 1215801527
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Entity Type | Individual
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Provider Name | DANA M PERKINS
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Gender | Male
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Dates
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Enumeration Date | 09/30/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 625 COMMERCE ST STE 212
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City | TACOMA
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State | WA
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Zip | 98402-4602
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Country | US
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Telephone | 253-254-8679
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Fax |
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Provider Business Mailing Address
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Address Line | 6408 47TH STREET CT W
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98466-5606
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Country | US
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Telephone | 253-254-8679
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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 | MFTA.MG.70030225
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License Number State | WA
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