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General NPI Number Information
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NPI Number | 1952472649
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Entity Type | Individual
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Provider Name | AARON DOUGLAS MCNABB M.S.
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Gender | Male
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 09/09/2020
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Provider Practice Location Address
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Address Line | 9300 NE OAK VIEW DR STE B
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City | VANCOUVER
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State | WA
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Zip | 98662-6157
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Country | US
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Telephone | 360-751-6731
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Fax |
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Provider Business Mailing Address
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Address Line | 945 11TH AVE SUITE B
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City | LONGVIEW
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State | WA
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Zip | 98632-2555
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Country | US
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Telephone | 360-414-8600
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Fax | 360-636-7372
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | RC00049825
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License Number State | WA
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