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General NPI Number Information
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NPI Number | 1528033750
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Entity Type | Organization
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Legal Business Name | SUSAN T ENGLISH MS
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11207 E BROADWAY AVE
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City | SPOKANE VALLEY
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State | WA
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Zip | 99206-5009
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Country | US
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Telephone | 509-892-3784
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Fax | 509-892-3819
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Provider Business Mailing Address
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Address Line | PO BOX 141378
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City | SPOKANE VALLEY
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State | WA
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Zip | 99214-1378
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Country | US
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Telephone | 509-892-3784
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Fax | 509-892-3819
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Authorized Official
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Title or Position | OWNER
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Name | MS. SUSAN THERESE ENGLISH
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Credential | LMHC
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Telephone | 509-892-3784
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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 | LH00003712
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License Number State | WA
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