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General NPI Number Information
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NPI Number | 1265343594
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Entity Type | Individual
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Provider Name | ANTHONY JOSEPH LAMANNA JR.
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Gender | Male
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 323 E 2ND AVE STE 201
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City | SPOKANE
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State | WA
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Zip | 99202-1455
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Country | US
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Telephone | 509-220-2195
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Fax |
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Provider Business Mailing Address
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Address Line | 27721 N LEWIS LN
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City | DEER PARK
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State | WA
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Zip | 99006-9327
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Country | US
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Telephone | 509-220-2195
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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 | MHCA.MC.70143347
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License Number State | WA
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