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General NPI Number Information
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NPI Number | 1386460566
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Entity Type | Individual
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Provider Name | HAPPINESS R TARITA
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Gender | Female
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 3927 E 21ST AVE
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City | SPOKANE
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State | WA
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Zip | 99223-5421
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Country | US
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Telephone | 509-242-3112
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Fax | 202-335-7914
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Provider Business Mailing Address
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Address Line | 3927 E 21ST AVE
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City | SPOKANE
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State | WA
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Zip | 99223-5421
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Country | US
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Telephone | 248-773-1396
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Fax | 202-335-7914
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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 | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 756233
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License Number State | WA
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