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NPI 1629208673

NPI 1629208673 : WILL MEEK PH.D. : VANCOUVER, WA

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General NPI Number Information
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    NPI Number           |    1629208673
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    Entity Type          |    Individual 
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    Provider Name        |    WILL MEEK PH.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/23/2009
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    Last Update Date     |    11/12/2009
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Provider Practice Location Address
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    Address Line         |    601 E 22ND ST 
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    City                 |    VANCOUVER
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    State                |    WA
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    Zip                  |    98663-3208
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    Country              |    US
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    Telephone            |    360-513-0575
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1701 BROADWAY ST # 364 
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    City                 |    VANCOUVER
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    State                |    WA
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    Zip                  |    98663-3436
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    Country              |    US
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    Telephone            |    360-513-0575
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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        |    103TC1900X
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    Taxonomy Name        |    Counseling Psychologist
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    License Number       |    PY60058226
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    License Number State |    WA
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