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NPI 1154316552

NPI 1154316552 : MARY E GALASZEWSKI-SLOTKIN PH D : FEDERAL WAY, WA

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General NPI Number Information
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    NPI Number           |    1154316552
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    Entity Type          |    Individual 
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    Provider Name        |    MARY E GALASZEWSKI-SLOTKIN PH D
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/13/2005
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    Last Update Date     |    08/16/2010
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Provider Practice Location Address
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    Address Line         |    33600 6TH AVE S SUITE 212
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    City                 |    FEDERAL WAY
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    State                |    WA
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    Zip                  |    98003-6743
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    Country              |    US
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    Telephone            |    253-569-7698
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    Fax                  |    253-661-9190
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Provider Business Mailing Address
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    Address Line         |    33600 6TH AVENUE SOUTH SUITE 212
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    City                 |    FEDERAL WAY
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    State                |    WA
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    Zip                  |    98003-2934
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    Country              |    US
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    Telephone            |    253-569-7698
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    Fax                  |    253-661-9190
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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        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    1953
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    License Number State |    WA
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