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General NPI Number Information
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NPI Number | 1164747507
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Entity Type | Individual
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Provider Name | DOROTHY L CAPERS LISW
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Gender | Female
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Dates
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Enumeration Date | 03/29/2010
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Last Update Date | 04/08/2019
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Provider Practice Location Address
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Address Line | 520 BURNETT AVE S
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City | RENTON
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State | WA
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Zip | 98057-2561
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Country | US
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Telephone | 425-772-1744
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Fax |
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Provider Business Mailing Address
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Address Line | 10031 SE 258TH PL APT M102
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City | KENT
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State | WA
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Zip | 98030-2872
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Country | US
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Telephone | 425-772-1744
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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 |
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License Number State |
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