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General NPI Number Information
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NPI Number | 1386472728
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Entity Type | Organization
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Legal Business Name | EMPOWERED MINDS NEUROPSYCHOLOGY
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Dates
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Enumeration Date | 07/25/2024
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 4405 7TH AVE SE STE 200
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City | LACEY
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State | WA
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Zip | 98503-1055
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Country | US
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Telephone | 360-467-9317
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Fax |
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Provider Business Mailing Address
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Address Line | 4405 7TH AVE SE STE 200
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City | LACEY
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State | WA
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Zip | 98503-1055
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANN CLAWSON
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Credential | PHD
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Telephone | 360-467-9317
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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