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General NPI Number Information
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NPI Number | 1275020281
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Entity Type | Individual
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Provider Name | KATHLEEN LEASK
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Gender | Female
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Dates
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Enumeration Date | 04/16/2018
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Last Update Date | 06/13/2021
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Provider Practice Location Address
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Address Line | 119 W ROY ST APT 404
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City | SEATTLE
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State | WA
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Zip | 98119-3887
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Country | US
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Telephone | 206-948-7343
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Fax |
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Provider Business Mailing Address
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Address Line | 100 N HOWARD ST STE R
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City | SPOKANE
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State | WA
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Zip | 99201-0508
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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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 | LF60997152
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License Number State | WA
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