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General NPI Number Information
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NPI Number | 1023962081
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Entity Type | Organization
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Legal Business Name | NOVELPATH BEHAVIORAL WELLNESS LLC
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Dates
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Enumeration Date | 02/25/2026
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 11711 SE 8TH ST STE 315
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City | BELLEVUE
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State | WA
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Zip | 98005-3543
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Country | US
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Telephone | 425-906-9331
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Fax |
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Provider Business Mailing Address
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Address Line | 11711 SE 8TH ST STE 315
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City | BELLEVUE
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State | WA
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Zip | 98005-3543
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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 | DIRECTOR
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Name | AMY MOORE
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Credential | MOORE
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Telephone | 503-819-6585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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