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General NPI Number Information
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NPI Number | 1194142737
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Entity Type | Individual
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Provider Name | MARIA ESPINO-VILLEGAS LICSW
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Gender | Female
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Dates
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Enumeration Date | 03/20/2014
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 1660 S COLUMBIAN WAY
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City | SEATTLE
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State | WA
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Zip | 98108-1532
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Country | US
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Telephone | 206-762-1010
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Fax | 213-482-6408
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Provider Business Mailing Address
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Address Line | 4780 32ND AVE S APT 114
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City | SEATTLE
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State | WA
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Zip | 98118-2304
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Country | US
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Telephone | 509-251-1428
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Fax | 213-482-6408
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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 | LW61494753
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License Number State | WA
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