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General NPI Number Information
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NPI Number | 1194536508
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Entity Type | Individual
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Provider Name | ELLE RACHEL ZAMBRANO PSYD
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Gender | Female
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Dates
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Enumeration Date | 01/15/2025
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 10512 NE 68TH ST STE 101
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City | KIRKLAND
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State | WA
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Zip | 98033-7062
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Country | US
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Telephone | 915-342-2469
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Fax |
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Provider Business Mailing Address
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Address Line | 18250 142ND AVE NE APT 314
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City | WOODINVILLE
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State | WA
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Zip | 98072-4363
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Country | US
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Telephone | 915-342-2469
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY61555369
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License Number State | WA
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