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General NPI Number Information
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NPI Number | 1114479227
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Entity Type | Organization
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Legal Business Name | PATRICIA A. VALDEZ RN MSW CSW PS
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Dates
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Enumeration Date | 10/25/2016
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Last Update Date | 10/25/2016
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Provider Practice Location Address
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Address Line | 823 NE 65TH ST
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City | SEATTLE
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State | WA
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Zip | 98115-5539
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Country | US
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Telephone | 206-524-2183
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Fax | 206-729-6313
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Provider Business Mailing Address
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Address Line | 823 NE 65TH ST
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City | SEATTLE
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State | WA
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Zip | 98115-5539
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Country | US
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Telephone | 206-524-2183
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Fax | 206-729-6313
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. PATRICIA ANN VALDEZ
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Credential | LICSW
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Telephone | 206-524-2183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW00005443
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License Number State | WA
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