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NPI 1144145210

NPI 1144145210 : CLARITY PEDIATRICS MEDICAL GROUP NJ LLC : SEATTLE, WA

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General NPI Number Information
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    NPI Number           |    1144145210
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    Entity Type          |    Organization 
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    Legal Business Name  |    CLARITY PEDIATRICS MEDICAL GROUP NJ LLC 
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Dates
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    Enumeration Date     |    08/10/2026
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    Last Update Date     |    08/10/2026
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Provider Practice Location Address
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    Address Line         |    450 ALASKAN WAY S STE 200 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98104-2785
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    Country              |    US
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    Telephone            |    415-599-0988
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2261 MARKET ST # 5392 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94114-1612
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CHIEF MEDICAL OFFICER
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    Name                 |     LUIS ALESANDRO  LARRAZABAL MARTINEZ 
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    Credential           |    MD
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    Telephone            |    415-599-0988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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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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Taxonomy #4
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    363LP0200X
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    Taxonomy Name        |    Pediatric Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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