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General NPI Number Information
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NPI Number | 1053005066
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Entity Type | Organization
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Legal Business Name | SENSORIWORKS LLC
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Dates
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Enumeration Date | 06/05/2023
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 6929 NW FRIBERG STRUNK ST STE 270&275
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City | CAMAS
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State | WA
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Zip | 98607-7797
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Country | US
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Telephone | 360-930-6688
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Fax | 360-282-1022
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Provider Business Mailing Address
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Address Line | 6929 NW FRIBERG STRUNK ST STE 270
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City | CAMAS
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State | WA
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Zip | 98607-7070
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Country | US
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Telephone | 360-930-6688
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Fax | 360-282-1022
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Authorized Official
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Title or Position | OWNER
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Name | AMANDA L OSBORN
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Credential | LICSW
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Telephone | 360-627-1359
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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