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General NPI Number Information
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NPI Number | 1245603877
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Entity Type | Organization
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Legal Business Name | DAVE PERRY, MA, PLLC
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Dates
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Enumeration Date | 11/04/2015
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Last Update Date | 11/04/2015
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Provider Practice Location Address
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Address Line | 920 N ARGONNE RD SUITE 120D
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City | SPOKANE VALLEY
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State | WA
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Zip | 99212-2721
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Country | US
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Telephone | 509-991-5110
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Fax |
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Provider Business Mailing Address
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Address Line | 1807 S STEEN RD
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City | VERADALE
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State | WA
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Zip | 99037-9252
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Country | US
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Telephone | 509-991-5110
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID ALAN PERRY
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Credential | M.A., LMHC
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Telephone | 509-991-5110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH 60262187
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License Number State | WA
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