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General NPI Number Information
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NPI Number | 1013325851
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Entity Type | Individual
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Provider Name | STEPHANIE GIERMAN
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Gender | Female
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Dates
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Enumeration Date | 07/24/2014
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Last Update Date | 07/24/2014
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Provider Practice Location Address
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Address Line | 6869 WOODLAWN AVE NE SUITE 210
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City | SEATTLE
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State | WA
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Zip | 98115-5469
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Country | US
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Telephone | 206-525-4748
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Fax |
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Provider Business Mailing Address
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Address Line | 6869 WOODLAWN AVE NE SUITE 210
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City | SEATTLE
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State | WA
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Zip | 98115-5469
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Country | US
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Telephone | 206-525-4748
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH60076117
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN00067822
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA 00000885
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License Number State | WA
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