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General NPI Number Information
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NPI Number | 1649918715
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Entity Type | Individual
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Provider Name | PAIGE PEREIRA MSW
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Gender | Female
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Dates
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Enumeration Date | 05/26/2022
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Last Update Date | 05/26/2022
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Provider Practice Location Address
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Address Line | 6625 WAGNER WAY STE 320
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City | GIG HARBOR
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State | WA
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Zip | 98335-8392
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Country | US
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Telephone | 253-858-7056
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Fax |
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Provider Business Mailing Address
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Address Line | 5670 KITSAP WAY APT 106
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City | BREMERTON
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State | WA
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Zip | 98312-2289
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Country | US
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Telephone | 360-519-9243
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SWIA.SC.61309933
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License Number State | WA
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