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General NPI Number Information
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NPI Number | 1285305037
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Entity Type | Individual
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Provider Name | PAMELA R MYRICKS-ORANGE WILLIAMS
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Gender | Female
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Dates
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Enumeration Date | 09/22/2021
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Last Update Date | 09/22/2021
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Provider Practice Location Address
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Address Line | 721 FAWCETT AVE
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City | TACOMA
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State | WA
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Zip | 98402-5502
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Country | US
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Telephone | 253-999-2734
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Fax |
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Provider Business Mailing Address
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Address Line | 1427 S 58TH ST
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City | TACOMA
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State | WA
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Zip | 98408-2319
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Country | US
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Telephone | 253-988-8160
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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 | CAAR.CG.61097428
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License Number State | WA
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