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General NPI Number Information
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NPI Number | 1083151393
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Entity Type | Organization
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Legal Business Name | KRISTY SCHERMERHORN LLC
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Dates
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Enumeration Date | 01/24/2017
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Last Update Date | 01/24/2017
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Provider Practice Location Address
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Address Line | 6512 20TH STREET CT W STE B2
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City | FIRCREST
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State | WA
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Zip | 98466-6212
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Country | US
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Telephone | 808-341-9334
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Fax |
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Provider Business Mailing Address
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Address Line | 18612 PIONEER WAY E
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City | ORTING
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State | WA
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Zip | 98360-9601
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Country | US
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Telephone | 808-341-6463
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR ASSOCIATE
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Name | MRS. KRISTY ANNE SCHERMERHORN
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Credential |
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Telephone | 808-341-9334
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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 | MC60700062
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License Number State | WA
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