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General NPI Number Information
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NPI Number | 1588049241
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Entity Type | Individual
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Provider Name | ANNA ALLRED
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Gender | Female
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Dates
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Enumeration Date | 07/23/2015
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 612 WOODLAND SQUARE LOOP SE STE 401
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City | LACEY
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State | WA
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Zip | 98503-1070
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Country | US
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Telephone | 360-754-1338
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 306
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City | BAY CENTER
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State | WA
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Zip | 98527-0306
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Country | US
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Telephone | 360-875-1812
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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 | LH60768694
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C5222
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | WA
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