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General NPI Number Information
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NPI Number | 1326707902
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Entity Type | Organization
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Legal Business Name | TAJA ESTRADA, PHD, PLLC
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Dates
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Enumeration Date | 12/10/2021
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Last Update Date | 12/10/2021
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Provider Practice Location Address
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Address Line | 7222 LINDEN AVE N APT A
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City | SEATTLE
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State | WA
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Zip | 98103-5177
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Country | US
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Telephone | 862-684-1377
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Fax |
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Provider Business Mailing Address
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Address Line | 1752 NW MARKET ST # 321
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City | SEATTLE
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State | WA
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Zip | 98107-5264
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Country | US
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Telephone | 862-684-1377
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Fax |
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Authorized Official
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Title or Position | OWNER, LICENSED PSYCHOLOGIST
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Name | TAJA ESTRADA
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Credential | PH.D.
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Telephone | 862-684-1377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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