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General NPI Number Information
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NPI Number | 1730043449
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Entity Type | Organization
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Legal Business Name | BIENESTAR NEUROPSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 12/16/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 1102 A ST # 89
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City | TACOMA
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State | WA
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Zip | 98402-5001
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Country | US
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Telephone | 253-527-6974
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Fax | 253-352-2432
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Provider Business Mailing Address
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Address Line | 1102 A ST # 89
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City | TACOMA
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State | WA
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Zip | 98402-5001
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Country | US
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Telephone | 253-527-6974
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Fax | 253-352-2432
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Authorized Official
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Title or Position | NEUROPSYCHOLOGIST
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Name | DR. JESSICA CRUZ
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Credential | PHD
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Telephone | 206-375-8323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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