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General NPI Number Information
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NPI Number | 1306394259
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Entity Type | Individual
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Provider Name | STAVROULA ANGELIKI WEST LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/20/2016
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 1016 ARNOLD AVE
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City | HOQUIAM
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State | WA
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Zip | 98550-1530
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Country | US
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Telephone | 206-724-4465
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Fax |
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Provider Business Mailing Address
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Address Line | 1016 ARNOLD AVE
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City | HOQUIAM
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State | WA
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Zip | 98550-1530
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Country | US
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Telephone | 206-724-4465
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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 | LMFT-16120
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License Number State | AZ
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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 | 11551867-3902
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT5003
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LF61285813
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License Number State | WA
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