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General NPI Number Information
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NPI Number | 1184082489
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Entity Type | Individual
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Provider Name | ANDREW ANTHONY ZARATE RD, CD, LCSW, LICSW
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Gender | Male
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Dates
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Enumeration Date | 02/02/2016
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 1666 E OLIVE WAY
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City | SEATTLE
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State | WA
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Zip | 98102-5627
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Country | US
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Telephone | 917-409-8541
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Fax |
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Provider Business Mailing Address
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Address Line | 1666 E OLIVE WAY
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City | SEATTLE
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State | WA
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Zip | 98102-5627
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Country | US
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Telephone | 917-409-8541
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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 | SC60890351
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 098406
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DI60890355
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 86010670
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW61259318
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License Number State | WA
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