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General NPI Number Information
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NPI Number | 1346964731
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Entity Type | Organization
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Legal Business Name | SEATTLE THERAPEUTIC SERVICES, PLLC
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Dates
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Enumeration Date | 09/28/2022
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Last Update Date | 09/28/2022
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Provider Practice Location Address
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Address Line | 16521 84TH AVENUE CT E
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City | PUYALLUP
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State | WA
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Zip | 98375-6294
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Country | US
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Telephone | 253-330-9921
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Fax |
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Provider Business Mailing Address
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Address Line | 16521 84TH AVENUE CT E
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City | PUYALLUP
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State | WA
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Zip | 98375-6294
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Country | US
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Telephone | 253-330-9921
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Fax |
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Authorized Official
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Title or Position | ARNP
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Name | ALISON DEMIERO
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Credential | ARNP, PMHNP-BC
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Telephone | 253-330-9921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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