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General NPI Number Information
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NPI Number | 1851358030
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Entity Type | Individual
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Provider Name | DANIEL JACOB TOLSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/29/2006
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 17615 85TH AVENUE CT E
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City | PUYALLUP
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State | WA
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Zip | 98375-1902
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Country | US
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Telephone | 425-998-7529
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 190
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City | TOPPENISH
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State | WA
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Zip | 98948-0190
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Country | US
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Telephone | 509-865-2395
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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 | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | 60954756
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 60954756
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | V5138
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | 230508
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License Number State | AK
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Taxonomy #5
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 01061661A
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License Number State | IN
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Taxonomy #6
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Taxonomy Code | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | 01061661A
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License Number State | IN
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Taxonomy #7
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Taxonomy Code | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | MD60954756
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License Number State | WA
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Taxonomy #8
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Taxonomy Code | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | 4071469
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License Number State | ID
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