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General NPI Number Information
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NPI Number | 1164948147
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Entity Type | Individual
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Provider Name | ERIN DAMITIO RBT
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Gender | Female
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Dates
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Enumeration Date | 08/21/2017
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Last Update Date | 08/21/2017
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Provider Practice Location Address
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Address Line | 14434 NE 8TH ST STE 2
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City | BELLEVUE
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State | WA
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Zip | 98007-4146
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Country | US
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Telephone | 425-223-5126
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Fax |
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Provider Business Mailing Address
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Address Line | 714 7TH AVE APT 416
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City | SEATTLE
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State | WA
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Zip | 98104-1968
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Country | US
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Telephone | 316-302-0561
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | BACB337487
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License Number State | WA
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