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General NPI Number Information
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NPI Number | 1801899109
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Entity Type | Individual
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Provider Name | DEBBIE BARDWELL PH.D.
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Gender | Female
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 08/17/2022
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Provider Practice Location Address
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Address Line | 920 N ARGONNE RD STE 207
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City | SPOKANE VALLEY
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State | WA
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Zip | 99212-2721
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Country | US
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Telephone | 509-263-3060
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Fax | 509-448-0958
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Provider Business Mailing Address
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Address Line | PO BOX 13074
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City | SPOKANE VALLEY
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State | WA
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Zip | 99213-3074
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Country | US
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Telephone | 509-263-3060
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Fax | 509-448-0958
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LF 1117
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY1721
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License Number State | WA
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