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General NPI Number Information
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NPI Number | 1255862561
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Entity Type | Individual
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Provider Name | PATRICIA NOEL SHROPSHIRE SUDP, AAC
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Gender | Female
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Dates
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Enumeration Date | 03/27/2017
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 157 S HOWARD ST STE 303
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City | SPOKANE
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State | WA
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Zip | 99201-4422
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Country | US
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Telephone | 509-262-5917
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Fax |
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Provider Business Mailing Address
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Address Line | 522 W RIVERSIDE AVE STE 6003
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City | SPOKANE
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State | WA
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Zip | 99201-0580
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Country | US
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Telephone | 509-262-5917
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CAAL.CU.61680499
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CP60618426
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License Number State | WA
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