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General NPI Number Information
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NPI Number | 1104069178
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Entity Type | Organization
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Legal Business Name | KATE L. MACDONALD, PHD, RN, LLC
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Dates
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Enumeration Date | 04/07/2009
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Last Update Date | 04/07/2009
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Provider Practice Location Address
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Address Line | 325 118TH AVE SE SUITE 302
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City | BELLEVUE
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State | WA
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Zip | 98005-3539
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Country | US
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Telephone | 425-442-4848
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Fax | 425-453-7013
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Provider Business Mailing Address
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Address Line | 325 118TH AVE SE SUITE 302
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City | BELLEVUE
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State | WA
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Zip | 98005-3539
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Country | US
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Telephone | 425-442-4848
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Fax | 425-453-7013
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. KATE L MACDONALD
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Credential | PHD
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Telephone | 425-442-4848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1212
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License Number State | WA
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