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General NPI Number Information
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NPI Number | 1679982284
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Entity Type | Organization
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Legal Business Name | SMART THERAPY, LLC
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Dates
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Enumeration Date | 08/07/2014
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Last Update Date | 04/28/2016
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Provider Practice Location Address
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Address Line | 9708 N NEVADA ST SUITE 205
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City | SPOKANE
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State | WA
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Zip | 99218-6004
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Country | US
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Telephone | 509-466-0226
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Fax | 844-273-3042
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Provider Business Mailing Address
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Address Line | 9708 N NEVADA ST SUITE 205
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City | SPOKANE
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State | WA
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Zip | 99218-6004
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Country | US
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Telephone | 509-466-0226
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Fax | 844-273-3042
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | CANDACE SMART
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Credential | M.S.
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Telephone | 509-703-8549
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH60420747
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH00002511
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH60043810
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License Number State | WA
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