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NPI 1316507759

NPI 1316507759 : MEREDITH H BRIGHT EDS, MA : SEATTLE, WA

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General NPI Number Information
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    NPI Number           |    1316507759
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    Entity Type          |    Individual 
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    Provider Name        |    MEREDITH H BRIGHT EDS, MA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/18/2019
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    Last Update Date     |    06/18/2019
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Provider Practice Location Address
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    Address Line         |    1307 N 45TH ST STE 200 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98103-6741
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    Country              |    US
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    Telephone            |    206-380-3897
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6708 18TH AVE NW 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98117-5521
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    Country              |    US
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    Telephone            |    206-380-3897
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    MC60974107
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    License Number State |    WA
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