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General NPI Number Information
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NPI Number | 1326414566
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Entity Type | Individual
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Provider Name | JESSICA ANN DOWDLE BSW
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Gender | Female
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Dates
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Enumeration Date | 08/11/2015
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Last Update Date | 08/11/2015
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Provider Practice Location Address
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Address Line | 5455 ALMIRA DR NE
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City | BREMERTON
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State | WA
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Zip | 98311-8330
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Country | US
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Telephone | 360-865-2480
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Fax |
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Provider Business Mailing Address
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Address Line | 1308 NW SLATE LN UNIT 102
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City | SILVERDALE
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State | WA
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Zip | 98383-7980
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Country | US
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Telephone | 360-865-2480
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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 | CG60412300
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License Number State | WA
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