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General NPI Number Information
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NPI Number | 1154708360
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Entity Type | Individual
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Provider Name | SHARON ELAINE DEPAULO LICSWA
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Gender | Female
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Dates
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Enumeration Date | 04/27/2015
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 150 S ELM ST
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City | COLVILLE
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State | WA
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Zip | 99114-2834
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Country | US
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Telephone | 509-675-1447
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Fax | 509-684-3852
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Provider Business Mailing Address
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Address Line | PO BOX 603
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City | MARCUS
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State | WA
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Zip | 99151-0603
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Country | US
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Telephone | 509-520-7227
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SC61397503
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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