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General NPI Number Information
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NPI Number | 1851004014
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Entity Type | Individual
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Provider Name | LADONNA R WASHINGTON
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Gender | Female
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Dates
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Enumeration Date | 01/03/2023
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Last Update Date | 08/31/2023
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Provider Practice Location Address
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Address Line | 8151 E INDIAN BEND RD STE 177
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City | SCOTTSDALE
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State | AZ
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Zip | 85250-4826
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Country | US
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Telephone | 702-574-9383
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Fax |
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Provider Business Mailing Address
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Address Line | 1949 BAYHURST AVE
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89031-0751
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Country | US
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Telephone | 702-574-9383
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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 |
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License Number State | AZ
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