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General NPI Number Information
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NPI Number | 1851047450
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Entity Type | Organization
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Legal Business Name | EIRI THERAPY PLLC
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Dates
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Enumeration Date | 02/23/2022
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Last Update Date | 07/05/2023
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Provider Practice Location Address
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Address Line | 555 ANDOVER PARK W STE 200
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City | TUKWILA
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State | WA
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Zip | 98188-3379
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Country | US
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Telephone | 206-486-6682
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Fax | 833-415-1869
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Provider Business Mailing Address
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Address Line | PO BOX 59566
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City | RENTON
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State | WA
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Zip | 98058-2566
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Country | US
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Telephone | 509-540-0248
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Fax | 833-415-1869
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Authorized Official
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Title or Position | OWNER
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Name | CODY JAMES MCCALL
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Credential | LMHC
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Telephone | 509-540-0248
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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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