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General NPI Number Information
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NPI Number | 1083758924
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Entity Type | Individual
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Provider Name | KATHY J WILMERING MSW ARNP
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Gender | Female
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 02/10/2023
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Provider Practice Location Address
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Address Line | 1915 25TH AVE S UNIT A
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City | SEATTLE
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State | WA
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Zip | 98144-4705
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Country | US
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Telephone | 206-632-9522
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Fax | 206-632-9522
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Provider Business Mailing Address
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Address Line | 4412 CALIFORNIA AVE SW UNIT 16325
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City | SEATTLE
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State | WA
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Zip | 98116-0816
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Country | US
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Telephone | 206-632-9522
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Fax | 206-632-9522
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP30002439
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | LH00006554
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LH00006554
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License Number State | WA
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