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General NPI Number Information
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NPI Number | 1033513643
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Entity Type | Individual
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Provider Name | CHELSEA E LYE
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Gender | Female
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Dates
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Enumeration Date | 10/13/2014
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 12220 113TH AVE NE
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City | KIRKLAND
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State | WA
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Zip | 98034-6915
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Country | US
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Telephone | 206-312-7426
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Fax | 206-339-1550
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Provider Business Mailing Address
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Address Line | PO BOX 65345
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City | TACOMA
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State | WA
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Zip | 98464-1345
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Country | US
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Telephone | 206-312-7426
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Fax | 206-302-2210
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LF60802092
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License Number State | WA
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