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General NPI Number Information
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NPI Number | 1407107949
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Entity Type | Individual
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Provider Name | DANA N EMANUEL MSW
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Gender | Female
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Dates
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Enumeration Date | 09/24/2012
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Last Update Date | 07/25/2013
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Provider Practice Location Address
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Address Line | 1305 TACOMA AVE S
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City | TACOMA
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State | WA
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Zip | 98402-1903
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Country | US
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Telephone | 253-320-8459
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Fax |
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Provider Business Mailing Address
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Address Line | 5111 ROYAL DR W
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98467-1837
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Country | US
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Telephone | 253-320-8459
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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 | CG60395150
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SC60401578
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License Number State | WA
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