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General NPI Number Information
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NPI Number | 1083808059
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Entity Type | Organization
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Legal Business Name | CENTER FOR COUPLES & FAMILY HEALING PLLC
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Dates
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Enumeration Date | 08/31/2007
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Last Update Date | 08/31/2007
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Provider Practice Location Address
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Address Line | 11417 124TH AVE NE #204
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City | KIRKLAND
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State | WA
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Zip | 98033
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Country | US
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Telephone | 425-899-0832
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Fax | 425-827-6221
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Provider Business Mailing Address
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Address Line | 11417 124TH AVE NE #204
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City | KIRKLAND
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State | WA
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Zip | 98033
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Country | US
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Telephone | 425-899-0832
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Fax | 425-827-6221
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | MS. LORYANN M NICHOLS
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Credential | MS LMFT
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Telephone | 206-290-8305
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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