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NPI 1043890999

NPI 1043890999 : KATIE-MAUREEN SPLAINE-DUCHSHERER : BELLEVUE, WA

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General NPI Number Information
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    NPI Number           |    1043890999
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    Entity Type          |    Individual 
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    Provider Name        |    KATIE-MAUREEN SPLAINE-DUCHSHERER
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/13/2021
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    Last Update Date     |    07/20/2023
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Provider Practice Location Address
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    Address Line         |    12507 NE BEL RED RD STE 101 
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    City                 |    BELLEVUE
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    State                |    WA
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    Zip                  |    98005-2500
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    Country              |    US
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    Telephone            |    425-371-7825
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6634 112TH AVE SE 
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    City                 |    BELLEVUE
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    State                |    WA
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    Zip                  |    98006-6424
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    Country              |    US
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    Telephone            |    425-943-1027
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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        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    MC61308084
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    License Number State |    WA
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