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General NPI Number Information
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NPI Number | 1255980553
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Entity Type | Individual
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Provider Name | LAUREN NICOLE-TRITTIN SPENCER MS, LMFTA
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Gender | Female
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Dates
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Enumeration Date | 09/09/2019
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Last Update Date | 01/06/2021
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Provider Practice Location Address
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Address Line | 12913 50TH AVENUE CT NW
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City | GIG HARBOR
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State | WA
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Zip | 98332-7830
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Country | US
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Telephone | 206-552-9280
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 400 BOX 1185
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City | APO
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State | AP
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Zip | 96273-0012
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Country | US
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Telephone | 206-552-9280
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 60973292
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 60973292
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License Number State | WA
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