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General NPI Number Information
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NPI Number | 1245056407
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Entity Type | Individual
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Provider Name | EMILY ANN VANNOY
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Gender | Female
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 2607 24TH ST SE
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City | PUYALLUP
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State | WA
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Zip | 98374-1416
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Country | US
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Telephone | 619-509-2540
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Fax |
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Provider Business Mailing Address
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Address Line | 12515 MERIDIAN E STE 203
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City | PUYALLUP
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State | WA
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Zip | 98373-3436
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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 |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LF61580950
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License Number State | WA
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