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General NPI Number Information
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NPI Number | 1932423985
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Entity Type | Individual
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Provider Name | SONIA ANNE PARTRIDGE PHD
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Gender | Female
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Dates
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Enumeration Date | 03/19/2010
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | JOINT BASE LEWIS MCCHORD 9040A JACKSON AVE
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City | TACOMA
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State | WA
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Zip | 98433
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Country | US
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Telephone | 350-742-2196
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Fax |
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Provider Business Mailing Address
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Address Line | 811 OFARRELL AVE SE
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City | OLYMPIA
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State | WA
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Zip | 98501-3580
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Country | US
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Telephone | 360-742-2196
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY00003415
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License Number State | WA
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