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General NPI Number Information
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NPI Number | 1679936231
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Entity Type | Individual
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Provider Name | PRISCILLA M MAYE MA/MHS/CAADC/SAP
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Gender | Female
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Dates
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Enumeration Date | 03/31/2016
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 4815 N ASSEMBLY ST
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City | SPOKANE
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State | WA
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Zip | 99205-6185
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Country | US
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Telephone | 509-434-7791
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Fax |
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Provider Business Mailing Address
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Address Line | 319 W 146TH ST
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City | DOLTON
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State | IL
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Zip | 60419-1410
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Country | US
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Telephone | 708-699-9444
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 27742
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License Number State | IL
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