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General NPI Number Information
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NPI Number | 1063986339
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Entity Type | Individual
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Provider Name | LORI SHOEMAKER LMHC, MSW
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Gender | Female
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Dates
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Enumeration Date | 01/19/2019
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Last Update Date | 09/29/2021
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Provider Practice Location Address
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Address Line | 1380 112TH AVE NE STE 101
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City | BELLEVUE
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State | WA
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Zip | 98004-3759
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Country | US
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Telephone | 206-232-6147
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Fax |
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Provider Business Mailing Address
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Address Line | 4546 FOREST AVE SE
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City | MERCER ISLAND
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State | WA
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Zip | 98040-4305
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Country | US
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Telephone | 206-227-1314
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH00010871
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License Number State | WA
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