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General NPI Number Information
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NPI Number | 1295533479
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Entity Type | Individual
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Provider Name | CECILIA AEXANDRA GUTIERREZ
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Gender | Female
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 723 SW 10TH ST
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City | RENTON
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State | WA
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Zip | 98057-5223
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Country | US
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Telephone | 206-461-4880
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Fax |
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Provider Business Mailing Address
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Address Line | 5000 LAKE WASHINGTON BLVD NE UNIT E102
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City | RENTON
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State | WA
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Zip | 98056-5040
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Country | US
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Telephone | 713-679-9675
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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 |
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License Number State |
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