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General NPI Number Information
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NPI Number | 1265467914
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Entity Type | Organization
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Legal Business Name | DEAN FUNABIKI AND ASSOCIATES , P.S.
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 03/19/2014
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Provider Practice Location Address
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Address Line | 1205 SE PROFESSIONAL MALL BLVD SUITE 113
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City | PULLMAN
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State | WA
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Zip | 99163-5423
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Country | US
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Telephone | 509-334-0677
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Fax | 509-334-3115
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Provider Business Mailing Address
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Address Line | PO BOX 214
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City | PULLMAN
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State | WA
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Zip | 99163-0214
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Country | US
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Telephone | 509-338-0848
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Fax | 509-334-3115
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DEAN FUNABIKI
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Credential | PH.D.
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Telephone | 509-338-0848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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