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General NPI Number Information
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NPI Number | 1134539695
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Entity Type | Individual
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Provider Name | KATHERINE BIANCA SHAND MFT
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Gender | Female
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Dates
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Enumeration Date | 05/05/2014
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 1191 NW TAHOE LN
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City | SILVERDALE
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State | WA
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Zip | 98383-7954
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Country | US
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Telephone | 360-698-4860
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Fax |
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Provider Business Mailing Address
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Address Line | 10803 BILL POINT VW NE STE 1B
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City | BAINBRIDGE ISLAND
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State | WA
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Zip | 98110-2181
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Country | US
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Telephone | 805-704-2129
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Fax |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LF61078667
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License Number State | WA
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