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General NPI Number Information
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NPI Number | 1356922256
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Entity Type | Individual
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Provider Name | CYNTHIA DAVIS
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Gender | Female
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Dates
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Enumeration Date | 04/21/2021
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 4115 S MERIDIAN STE D
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City | PUYALLUP
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State | WA
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Zip | 98373-5972
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Country | US
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Telephone | 253-655-7515
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Fax |
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Provider Business Mailing Address
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Address Line | 20512 86TH AVENUE CT E
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City | SPANAWAY
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State | WA
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Zip | 98387-5080
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Country | US
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Telephone | 577-819-3954
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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.70085416
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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