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General NPI Number Information
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NPI Number | 1790508117
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Entity Type | Organization
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Legal Business Name | LIQUID SUNSHINE PSYCHIATRIC SERVICES PLLC
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 753 N 35TH ST STE 208D
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City | SEATTLE
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State | WA
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Zip | 98103-8870
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Country | US
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Telephone | 206-922-8414
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Fax | 845-302-8822
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Provider Business Mailing Address
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Address Line | 342 NW 103RD ST
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City | SEATTLE
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State | WA
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Zip | 98177-4938
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Country | US
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Telephone | 206-353-4923
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Fax | 845-302-8822
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Authorized Official
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Title or Position | OWNER
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Name | SHANA B CANTONI
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Credential | PMHNP
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Telephone | 206-992-2841
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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