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General NPI Number Information
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NPI Number | 1659827046
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Entity Type | Organization
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Legal Business Name | PEPPERMINTZ CONSULTING
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Dates
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Enumeration Date | 08/26/2016
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Last Update Date | 08/26/2016
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Provider Practice Location Address
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Address Line | 3614 CALIFORNIA AVE SW # 214
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City | SEATTLE
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State | WA
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Zip | 98116-3780
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Country | US
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Telephone | 206-946-1685
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Fax |
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Provider Business Mailing Address
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Address Line | 3614 CALIFORNIA AVE SW # 214
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City | SEATTLE
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State | WA
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Zip | 98116-3780
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Country | US
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Telephone | 206-946-1685
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOSLYN CYNKUS MINTZ
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Credential | PHD, BCBA-D
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Telephone | 206-946-1685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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