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General NPI Number Information
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NPI Number | 1497641971
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Entity Type | Individual
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Provider Name | JOSEPH ISIAH PENAFLOR DNP, PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 222 E 2ND ST
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City | GRANDVIEW
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State | WA
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Zip | 98930-1342
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Country | US
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Telephone | 509-203-6501
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Fax | 509-203-6504
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Provider Business Mailing Address
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Address Line | 725 W 32ND AVE
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City | KENNEWICK
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State | WA
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Zip | 99337-4371
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Country | US
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Telephone | 509-205-9456
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Fax | 509-203-6504
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP70006520
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License Number State | WA
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