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General NPI Number Information
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NPI Number | 1063254639
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Entity Type | Individual
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Provider Name | ANIS GISELE
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Gender |
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Dates
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Enumeration Date | 06/12/2024
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 4730 UNIVERSITY WAY NE # 104-810
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City | SEATTLE
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State | WA
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Zip | 98105-4424
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Country | US
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Telephone | 626-556-7775
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Fax |
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Provider Business Mailing Address
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Address Line | 4730 UNIVERSITY WAY NE # 104-810
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City | SEATTLE
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State | WA
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Zip | 98105-4424
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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