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General NPI Number Information
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NPI Number | 1386020626
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Entity Type | Individual
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Provider Name | NADENE REICHERT MFT-A
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Gender | Female
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Dates
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Enumeration Date | 08/10/2015
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Last Update Date | 05/23/2023
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Provider Practice Location Address
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Address Line | 2520 NE MULBERRY WALK
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City | ISSAQUAH
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State | WA
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Zip | 98029-7369
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Country | US
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Telephone | 206-909-9728
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Fax |
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Provider Business Mailing Address
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Address Line | 2805 IRIS DR APT 3
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City | ANCHORAGE
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State | AK
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Zip | 99517-3286
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Country | US
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Telephone | 206-909-9728
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 102571
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License Number State | AK
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