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General NPI Number Information
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NPI Number | 1558834192
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Entity Type | Individual
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Provider Name | JOHN DOUGLAS DUNN LSWAIC
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Gender | Male
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Dates
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Enumeration Date | 01/07/2019
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 201 W NORTH RIVER DR STE 301
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City | SPOKANE
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State | WA
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Zip | 99201-2262
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Country | US
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Telephone | 509-919-7129
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Fax |
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Provider Business Mailing Address
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Address Line | 112 N 3RD ST
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City | CHENEY
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State | WA
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Zip | 99004-2120
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Country | US
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Telephone | 509-919-7129
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Fax |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | CG60960707
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | CG60960707
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SC61546413
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License Number State | WA
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