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General NPI Number Information
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NPI Number | 1053735472
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Entity Type | Organization
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Legal Business Name | SARAH LANDRUMTHERAPY
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Dates
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Enumeration Date | 02/05/2014
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Last Update Date | 02/05/2014
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Provider Practice Location Address
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Address Line | 14343 37TH AVE NE
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City | SEATTLE
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State | WA
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Zip | 98125-3734
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Country | US
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Telephone | 206-383-4148
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Fax |
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Provider Business Mailing Address
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Address Line | 444 NE RAVENNA BLVD 309
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City | SEATTLE
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State | WA
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Zip | 98115-8436
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Country | US
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Telephone | 206-383-4148
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | SARAH C LANDRUM
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Credential | M.A.
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Telephone | 206-383-4148
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | LH60433967
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License Number State | WA
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