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General NPI Number Information
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NPI Number | 1952159196
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Entity Type | Individual
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Provider Name | FEBBIE MUTINDORI PMHNP
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Gender | Female
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Dates
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Enumeration Date | 05/13/2024
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 1050 N ARGONNE RD STE 100
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City | SPOKANE VALLEY
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State | WA
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Zip | 99212-6011
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Country | US
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Telephone | 509-209-8990
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Fax | 509-919-4877
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Provider Business Mailing Address
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Address Line | 344 CLEVELAND AVE SE STE H
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City | TUMWATER
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State | WA
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Zip | 98501-3342
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Country | US
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Telephone | 360-489-1438
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61551357
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1159320
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License Number State | TX
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