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NPI 1801761671

NPI 1801761671 : REGAN RODRIGUEZ THERAPY, PLLC : PUYALLUP, WA

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General NPI Number Information
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    NPI Number           |    1801761671
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    Entity Type          |    Organization 
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    Legal Business Name  |    REGAN RODRIGUEZ THERAPY, PLLC 
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Dates
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    Enumeration Date     |    10/09/2025
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    Last Update Date     |    10/09/2025
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Provider Practice Location Address
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    Address Line         |    104 W MAIN STE 206 
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    City                 |    PUYALLUP
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    State                |    WA
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    Zip                  |    98371-8904
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    Country              |    US
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    Telephone            |    253-900-2228
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    104 W MAIN STE 206 
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    City                 |    PUYALLUP
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    State                |    WA
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    Zip                  |    98371-8904
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    THERAPIST
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    Name                 |     REGAN  RODRIGUEZ 
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    Credential           |    M.S., LMFT
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    Telephone            |    253-900-2228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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