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General NPI Number Information
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NPI Number | 1528846615
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Entity Type | Organization
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Legal Business Name | TIMOTHY POPANZ, PHD, PLLC
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Dates
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Enumeration Date | 09/19/2023
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 8060 23RD AVE NW
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City | SEATTLE
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State | WA
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Zip | 98117-4341
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Country | US
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Telephone | 206-369-6352
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Fax |
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Provider Business Mailing Address
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Address Line | 2400 NW 80TH ST # 601
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City | SEATTLE
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State | WA
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Zip | 98117-4449
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Country | US
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Telephone | 206-369-6352
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TIMOTHY JON POPANZ
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Credential | PHD
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Telephone | 206-369-6352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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