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General NPI Number Information
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NPI Number | 1578015442
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Entity Type | Organization
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Legal Business Name | AMY CORMAN, LLC
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Dates
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Enumeration Date | 10/26/2016
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Last Update Date | 01/09/2017
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Provider Practice Location Address
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Address Line | 316 W BOONE AVE SUITE 656
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City | SPOKANE
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State | WA
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Zip | 99201-2354
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Country | US
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Telephone | 509-251-3062
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Fax |
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Provider Business Mailing Address
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Address Line | 38811 N GROVE RD
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City | DEER PARK
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State | WA
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Zip | 99006-9528
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Country | US
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Telephone | 509-251-3062
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | AMY CORMAN
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Credential | MS, LMHC
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Telephone | 509-251-3062
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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 | LH60290564
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License Number State | WA
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