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General NPI Number Information
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NPI Number | 1043175862
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Entity Type | Individual
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Provider Name | ZAKARY CORRIE GILLIES-ANDERSON
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Gender |
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Dates
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Enumeration Date | 12/23/2025
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 600 STEWART ST STE 300
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City | SEATTLE
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State | WA
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Zip | 98101-1257
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Country | US
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Telephone | 360-596-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 600 STEWART ST STE 300
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City | SEATTLE
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State | WA
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Zip | 98101-1257
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Country | US
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Telephone | 360-569-3600
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | CB70080513
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License Number State | WA
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