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NPI 1376261362

NPI 1376261362 : ARACELI RIOS REGIS MSW, LSWAIC : BELLEVUE, WA

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General NPI Number Information
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    NPI Number           |    1376261362
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    Entity Type          |    Individual 
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    Provider Name        |    ARACELI RIOS REGIS MSW, LSWAIC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/16/2022
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    Last Update Date     |    08/16/2022
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Provider Practice Location Address
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    Address Line         |    13343 NE BEL RED RD STE 110 
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    City                 |    BELLEVUE
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    State                |    WA
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    Zip                  |    98005-2274
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    Country              |    US
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    Telephone            |    425-679-0801
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    450 CENTRAL WAY UNIT 3206 
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    City                 |    KIRKLAND
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    State                |    WA
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    Zip                  |    98033-4573
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    Country              |    US
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    Telephone            |    509-731-7343
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    SC61309453
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    License Number State |    WA
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