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General NPI Number Information
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NPI Number | 1083749402
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Entity Type | Individual
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Provider Name | ANN SELMA ALPERN PHD LMHC
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Gender | Female
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4109 BRIDGEPORT WAY WEST SUITE D 3
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98466-4328
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Country | US
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Telephone | 253-565-3759
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Fax | 253-857-8358
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Provider Business Mailing Address
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Address Line | PO BOX 64100
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98464-0100
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Country | US
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Telephone | 253-565-3759
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Fax | 253-857-8358
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LH00004286
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License Number State | WA
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