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General NPI Number Information
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NPI Number | 1225523863
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Entity Type | Individual
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Provider Name | MIHO ONAKA
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Gender | Female
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Dates
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Enumeration Date | 06/26/2018
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Last Update Date | 06/29/2018
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Provider Practice Location Address
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Address Line | 218 S 38TH ST
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City | TACOMA
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State | WA
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Zip | 98418
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Country | US
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Telephone | 206-673-0475
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Fax |
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Provider Business Mailing Address
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Address Line | 14805 SE 179TH ST APT 18R
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City | RENTON
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State | WA
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Zip | 98058-9070
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Country | US
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Telephone | 425-753-6122
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | WA
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