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General NPI Number Information
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NPI Number | 1497054241
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Entity Type | Individual
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Provider Name | HANNAH NOELLE DEZONIA FARMER LMHC
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Gender | Female
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Dates
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Enumeration Date | 03/18/2011
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 7100 FORT DENT WAY STE 220
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City | TUKWILA
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State | WA
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Zip | 98188-8553
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Country | US
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Telephone | 425-640-7009
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Fax |
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Provider Business Mailing Address
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Address Line | 3401 NE 7TH PL
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City | RENTON
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State | WA
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Zip | 98056-3920
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Country | US
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Telephone | 702-250-9968
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH61524151
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License Number State | WA
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