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General NPI Number Information
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NPI Number | 1245055987
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Entity Type | Individual
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Provider Name | KYLA LEONARD LWSAIC
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Gender | Female
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 16715 AURORA AVE N STE 102
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City | SHORELINE
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State | WA
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Zip | 98133-5310
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Country | US
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Telephone | 206-546-9766
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Fax |
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Provider Business Mailing Address
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Address Line | 2044 YALE AVE E APT 303
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City | SEATTLE
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State | WA
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Zip | 98102-3556
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Country | US
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Telephone |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | SWIA.SC.61553585
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License Number State | WA
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