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General NPI Number Information
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NPI Number | 1053441980
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Entity Type | Individual
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Provider Name | MARCO SANCHEZ M.A. MHP, CDP DVC
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Gender | Male
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 02/06/2014
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Provider Practice Location Address
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Address Line | 1833 N 105TH ST STE 101
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City | SEATTLE
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State | WA
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Zip | 98133-8973
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Country | US
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Telephone | 206-478-1191
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Fax | 206-522-3920
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Provider Business Mailing Address
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Address Line | 13527 DENSMORE AVE N
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City | SEATTLE
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State | WA
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Zip | 98133-7738
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Country | US
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Telephone | 206-478-1191
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Fax | 206-522-3920
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 17693
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | WA
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