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General NPI Number Information
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NPI Number | 1336891423
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Entity Type | Individual
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Provider Name | CAITLIN ELIZABETH SEQUEIRA
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Gender | Female
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Dates
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Enumeration Date | 01/20/2022
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | 4540 SAND POINT WAY NE
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City | SEATTLE
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State | WA
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Zip | 98105-3941
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Country | US
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Telephone | 206-987-6949
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Fax |
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Provider Business Mailing Address
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Address Line | 2533 NE 108TH PL
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City | SEATTLE
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State | WA
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Zip | 98125-6712
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Country | US
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Telephone | 864-517-5863
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW136030
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License Number State | WA
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