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General NPI Number Information
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NPI Number | 1225382252
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Entity Type | Organization
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Legal Business Name | HEATHER M. WIND MSW, INC. PS
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Dates
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Enumeration Date | 10/29/2012
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Last Update Date | 10/29/2012
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Provider Practice Location Address
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Address Line | 534 WESTLAKE AVE N SUITE 240
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City | SEATTLE
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State | WA
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Zip | 98109-4305
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Country | US
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Telephone | 206-915-6474
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Fax |
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Provider Business Mailing Address
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Address Line | 534 WESTLAKE AVE N SUITE 240
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City | SEATTLE
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State | WA
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Zip | 98109-4305
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Country | US
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Telephone | 206-915-6474
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER/PRESIDENT
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Name | HEATHER MANON WIND
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Credential | LICSW
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Telephone | 206-915-6474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | LW60246270
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License Number State | WA
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