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General NPI Number Information
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NPI Number | 1073210043
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Entity Type | Organization
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Legal Business Name | BRYCE SHOEMAKER MA LMHC PLLC
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Dates
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Enumeration Date | 02/10/2023
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Last Update Date | 02/10/2023
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Provider Practice Location Address
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Address Line | 4860 RAINIER AVE S STE C
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City | SEATTLE
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State | WA
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Zip | 98118-6305
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Country | US
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Telephone | 206-339-7327
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Fax |
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Provider Business Mailing Address
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Address Line | 212 BROADWAY E UNIT 20775
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City | SEATTLE
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State | WA
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Zip | 98102-7080
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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 | SOLE OWNER
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Name | BRYCE SHOEMAKER
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Credential |
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Telephone | 206-356-9327
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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 |
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License Number State |
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