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General NPI Number Information
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NPI Number | 1124538103
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Entity Type | Individual
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Provider Name | SETH R SONENTHAL LICSW, SUDP
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Gender | Male
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Dates
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Enumeration Date | 10/04/2017
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 4742 42ND AVE SW UNIT 122
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City | SEATTLE
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State | WA
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Zip | 98116-4553
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Country | US
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Telephone | 206-403-0173
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Fax | 206-326-1223
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Provider Business Mailing Address
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Address Line | 4742 42ND AVE SW UNIT 122
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City | SEATTLE
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State | WA
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Zip | 98116-4553
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Country | US
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Telephone | 206-403-0173
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Fax | 206-326-1223
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW60951016
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License Number State | WA
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