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NPI 1164874988

NPI 1164874988 : EMILY BELLE SNIDERMAN : SEATTLE, WA

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General NPI Number Information
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    NPI Number           |    1164874988
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    Entity Type          |    Individual 
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    Provider Name        |    EMILY BELLE SNIDERMAN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/05/2016
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    Last Update Date     |    03/09/2022
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Provider Practice Location Address
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    Address Line         |    2721 SW TRENTON ST #46956
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98126
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    Country              |    US
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    Telephone            |    62-880-1686
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2721 SW TRENTON ST # 46956 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98126-3747
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    Country              |    US
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    Telephone            |    206-880-1686
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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        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    LH61062777
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    License Number State |    WA
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