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General NPI Number Information
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NPI Number | 1770428153
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Entity Type | Organization
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Legal Business Name | DANDELION THERAPEUTIC SERVICES, LLC
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 427 N 3RD AVE SW
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City | TUMWATER
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State | WA
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Zip | 98512-6403
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Country | US
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Telephone | 253-527-5737
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Fax |
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Provider Business Mailing Address
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Address Line | 427 N 3RD AVE SW
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City | TUMWATER
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State | WA
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Zip | 98512-6403
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Country | US
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Telephone | 253-527-5737
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | TATJANA ISAAC
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Credential | LICSW
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Telephone | 253-527-5737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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