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General NPI Number Information
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NPI Number | 1467362160
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Entity Type | Organization
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Legal Business Name | WILL KOENIG, PMHNP PLLC
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 187A TUCKER RD
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City | ETHEL
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State | WA
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Zip | 98542-9704
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Country | US
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Telephone | 360-827-5362
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Fax | 360-978-5925
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Provider Business Mailing Address
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Address Line | PO BOX 753
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City | TOLEDO
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State | WA
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Zip | 98591-0753
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Country | US
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Telephone | 360-827-5362
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Fax | 360-978-5925
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Authorized Official
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Title or Position | PMHNP
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Name | WILLIAM S KOENIG
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Credential | ARNP
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Telephone | 360-827-5362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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