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General NPI Number Information
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NPI Number | 1336802206
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Entity Type | Individual
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Provider Name | KATELYN TRULL RBT
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Gender | Female
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Dates
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Enumeration Date | 10/18/2021
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 5112 NW TAYLOR RD
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City | BREMERTON
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State | WA
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Zip | 98312-8837
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Country | US
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Telephone | 360-373-2536
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Fax |
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Provider Business Mailing Address
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Address Line | 9234 CASCADE PL NW
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City | SILVERDALE
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State | WA
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Zip | 98383-9251
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Country | US
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Telephone | 360-525-5235
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-21-188718
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License Number State | WA
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