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General NPI Number Information
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NPI Number | 1235443490
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Entity Type | Organization
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Legal Business Name | BONNIE BHATTI PHD LICSW LLC
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Dates
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Enumeration Date | 07/29/2010
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Last Update Date | 07/29/2010
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Provider Practice Location Address
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Address Line | 11416 SLATER AVE NE SUITE 100
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City | KIRKLAND
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State | WA
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Zip | 98033-8827
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Country | US
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Telephone | 425-825-9992
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Fax | 425-823-2340
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Provider Business Mailing Address
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Address Line | 11416 SLATER AVE NE SUITE 100
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City | KIRKLAND
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State | WA
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Zip | 98033-8827
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Country | US
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Telephone | 425-825-9992
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Fax | 425-823-2340
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BONNIE BHATTI
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Credential | PHD LICSW
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Telephone | 425-825-9992
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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 | LW00005014
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License Number State | WA
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