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General NPI Number Information
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NPI Number | 1457979411
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Entity Type | Individual
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Provider Name | EMILY ALEXANDRIA TURNER
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Gender | Female
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Dates
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Enumeration Date | 07/07/2020
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Last Update Date | 07/07/2020
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Provider Practice Location Address
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Address Line | 4606 108TH ST SW
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City | LAKEWOOD
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State | WA
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Zip | 98499-4146
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Country | US
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Telephone | 253-693-2626
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Fax |
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Provider Business Mailing Address
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Address Line | 2560 RUDDELL RD SE APT C
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City | LACEY
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State | WA
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Zip | 98503-5224
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Country | US
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Telephone | 360-999-3046
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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 | 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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