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General NPI Number Information
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NPI Number | 1023267275
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Entity Type | Individual
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Provider Name | ANISA HUKIC PSY.D., LMHC
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Gender | Female
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Dates
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Enumeration Date | 09/11/2008
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Last Update Date | 07/25/2012
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Provider Practice Location Address
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Address Line | 5224 WILSON AVE. S., STE. 202 FOR A CHILD, LLC
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City | SEATTLE
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State | WA
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Zip | 98118-2735
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Country | US
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Telephone | 206-725-1820
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Fax |
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Provider Business Mailing Address
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Address Line | 5224 WILSON AVE S. STE. 202 FOR A CHILD, LLC
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City | SEATTLE
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State | WA
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Zip | 98118-2587
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Country | US
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Telephone |
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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 | 60167045
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License Number State | WA
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