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General NPI Number Information
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NPI Number | 1508436528
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Entity Type | Organization
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Legal Business Name | TELETHERAPEUTICS HEALTH INC
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Dates
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Enumeration Date | 06/30/2021
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 522 W RIVERSIDE AVE STE 4309
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City | SPOKANE
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State | WA
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Zip | 99201-0580
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Country | US
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Telephone | 509-203-4653
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Fax |
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Provider Business Mailing Address
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Address Line | 522 W RIVERSIDE AVE STE 4309
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City | SPOKANE
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State | WA
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Zip | 99201-0580
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Country | US
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Telephone | 509-203-4653
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YASIR J AHMAD
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Credential | MD
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Telephone | 781-373-8199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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