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General NPI Number Information
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NPI Number | 1245703123
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Entity Type | Organization
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Legal Business Name | CHRISTEN A CARSON PHD ABPP PLLC
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Dates
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Enumeration Date | 01/03/2019
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Last Update Date | 01/03/2019
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Provider Practice Location Address
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Address Line | 1117 MINOR AVE
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City | SEATTLE
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State | WA
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Zip | 98101-4246
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Country | US
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Telephone | 206-386-2280
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Fax | 206-624-0482
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Provider Business Mailing Address
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Address Line | 1117 MINOR AVE
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City | SEATTLE
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State | WA
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Zip | 98101-4246
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Country | US
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Telephone | 206-386-2280
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Fax | 206-624-0482
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTEN A CARSON
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Credential | PHD, ABPP
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Telephone | 206-386-2280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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