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General NPI Number Information
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NPI Number | 1235705187
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Entity Type | Individual
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Provider Name | ISABELLA WANJIKU GITAU
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Gender | Female
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Dates
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Enumeration Date | 06/01/2021
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Last Update Date | 12/22/2021
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Provider Practice Location Address
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Address Line | 720 W BOONE AVE STE 101
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City | SPOKANE
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State | WA
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Zip | 99201-2560
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Country | US
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Telephone | 509-862-8095
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Fax |
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Provider Business Mailing Address
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Address Line | 1103 N ARTIES LN
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City | SPOKANE VALLEY
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State | WA
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Zip | 99016-5413
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Country | US
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Telephone | 978-728-1415
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SC61216020
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License Number State | WA
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