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General NPI Number Information
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NPI Number | 1801937156
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Entity Type | Individual
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Provider Name | KAI PATRICK MCBRIDE
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Gender | Male
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 100 E 33RD ST # 201B
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City | VANCOUVER
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State | WA
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Zip | 98663-2776
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Country | US
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Telephone | 360-986-3550
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Fax |
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Provider Business Mailing Address
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Address Line | 91-1841 FORT WEAVER RD
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City | EWA BEACH
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State | HI
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Zip | 96706-1909
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Country | US
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Telephone | 916-835-8836
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | LF61066044
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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