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General NPI Number Information
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NPI Number | 1306190798
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Entity Type | Individual
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Provider Name | HEATHER STILES
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Gender | Female
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Dates
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Enumeration Date | 11/06/2012
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Last Update Date | 04/22/2019
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Provider Practice Location Address
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Address Line | 1208 W MALLON AVE
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City | SPOKANE
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State | WA
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Zip | 99201-2041
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Country | US
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Telephone | 509-477-2427
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Fax | 509-477-6460
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Provider Business Mailing Address
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Address Line | 4202 SOUTH REGAL STREET
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City | SPOKANE
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State | WA
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Zip | 99223-7738
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Country | US
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Telephone | 509-340-7183
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Fax | 509-789-3780
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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 | LH60126454
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License Number State | WA
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