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General NPI Number Information
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NPI Number | 1669280723
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Entity Type | Individual
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Provider Name | NYAH-ESTHER ROSAME GARCIA
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Gender | Female
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Dates
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Enumeration Date | 12/20/2024
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 325 E PIONEER
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City | PUYALLUP
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State | WA
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Zip | 98372-3265
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Country | US
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Telephone | 253-545-2336
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Fax |
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Provider Business Mailing Address
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Address Line | 19032 SE 295TH ST
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City | KENT
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State | WA
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Zip | 98042-9252
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Country | US
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Telephone | 253-545-1612
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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