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General NPI Number Information
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NPI Number | 1770419723
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Entity Type | Individual
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Provider Name | OLIVIA BRASKER
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Gender | Female
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Dates
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Enumeration Date | 06/18/2026
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Last Update Date | 06/18/2026
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Provider Practice Location Address
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Address Line | 2609 RIVER RD
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City | YAKIMA
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State | WA
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Zip | 98902-1133
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Country | US
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Telephone | 509-902-8428
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Fax | 509-902-8429
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Provider Business Mailing Address
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Address Line | 6003 VIEW HAVEN DR UNIT A
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City | YAKIMA
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State | WA
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Zip | 98908-3523
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Country | US
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Telephone | 509-602-0263
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State | WA
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