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General NPI Number Information
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NPI Number | 1265299275
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Entity Type | Individual
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Provider Name | STACEY WESTIN
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Gender | Female
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Dates
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Enumeration Date | 03/05/2024
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Last Update Date | 03/05/2024
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Provider Practice Location Address
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Address Line | 9307 BAY SHORE DR NW
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City | SILVERDALE
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State | WA
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Zip | 98383-8219
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Country | US
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Telephone | 360-633-6040
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Fax |
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Provider Business Mailing Address
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Address Line | 781 NW STAFFORDSHIRE CT
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City | POULSBO
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State | WA
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Zip | 98370-9771
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Country | US
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Telephone | 253-223-7854
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SC61150688
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License Number State | WA
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