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General NPI Number Information
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NPI Number | 1316584824
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Entity Type | Individual
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Provider Name | JOSEPHINE THOMAS
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Gender | Female
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Dates
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Enumeration Date | 12/03/2019
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 13451 SE 36TH ST
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City | BELLEVUE
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State | WA
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Zip | 98006-1475
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Country | US
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Telephone | 425-562-1337
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Fax |
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Provider Business Mailing Address
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Address Line | 944 DISCOVERY CIR NE UNIT 505
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City | ISSAQUAH
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State | WA
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Zip | 98029-6207
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Country | US
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Telephone | 206-450-7069
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 61391750
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License Number State | WA
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