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General NPI Number Information
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NPI Number | 1497848873
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Entity Type | Individual
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Provider Name | JAMES GUY CARL PATTEE M.A.
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Gender | Male
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Dates
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Enumeration Date | 09/30/2006
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Last Update Date | 04/30/2008
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Provider Practice Location Address
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Address Line | 10103 N DIVISION ST STE 109 WHITWORTH PROFESSIONAL CENTER
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City | SPOKANE
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State | WA
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Zip | 99218-2346
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Country | US
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Telephone | 509-467-1156
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Fax | 509-468-0462
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Provider Business Mailing Address
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Address Line | 10103 N DIVISION ST STE 109 WHITWORTH PROFESSIONAL CENTER
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City | SPOKANE
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State | WA
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Zip | 99218-2346
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Country | US
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Telephone | 509-467-1156
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Fax | 509-468-0462
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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 | LH00004438
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LF00001138
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License Number State | WA
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