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General NPI Number Information
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NPI Number | 1205558863
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Entity Type | Individual
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Provider Name | JULIE PATRICIA GALL LICSW
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Gender | Female
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 8226 BRACKEN PL SE STE 200
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City | SNOQUALMIE
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State | WA
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Zip | 98065-2935
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Country | US
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Telephone | 425-842-3910
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Fax |
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Provider Business Mailing Address
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Address Line | 27209 SE 13TH PL
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City | SAMMAMISH
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State | WA
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Zip | 98075-5961
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Country | US
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Telephone | 408-205-2171
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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 | LW00009172
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License Number State | WA
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