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General NPI Number Information
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NPI Number | 1356227706
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Entity Type | Individual
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Provider Name | SAIMON KESETE HABTE SR.
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Gender | Male
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 12601 68TH AVE S APT 22D
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City | SEATTLE
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State | WA
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Zip | 98178-4164
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Country | US
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Telephone | 206-372-3605
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Fax |
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Provider Business Mailing Address
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Address Line | 12601 68TH AVE S
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City | SEATTLE
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State | WA
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Zip | 98178-4195
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Country | US
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Telephone | 206-372-3605
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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 | WDL579SG713B
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License Number State | WA
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