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General NPI Number Information
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NPI Number | 1235882093
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Entity Type | Organization
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Legal Business Name | CARE WISE BEHAVIORAL THERAPIES LLC
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Dates
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Enumeration Date | 02/01/2022
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Last Update Date | 08/25/2022
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Provider Practice Location Address
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Address Line | 748 MARKET ST # 157
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City | TACOMA
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State | WA
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Zip | 98402-3737
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Country | US
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Telephone | 253-325-4161
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Fax |
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Provider Business Mailing Address
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Address Line | 84 23RD AVE
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City | MILTON
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State | WA
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Zip | 98354-9346
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANIELLE MICHAELS
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Credential |
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Telephone | 253-325-4161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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