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General NPI Number Information
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NPI Number | 1386833093
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Entity Type | Individual
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Provider Name | JULIE ANDROFF OHNEMUS MSW, LICSW
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Gender | Female
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Dates
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Enumeration Date | 10/18/2007
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Last Update Date | 05/15/2012
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Provider Practice Location Address
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Address Line | 3931 COLBY AVE
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City | EVERETT
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State | WA
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Zip | 98201-4926
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Country | US
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Telephone | 425-412-0835
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Fax |
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Provider Business Mailing Address
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Address Line | 19806 131ST PL NE
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City | WOODINVILLE
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State | WA
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Zip | 98072
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Country | US
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Telephone | 425-367-1668
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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 | LW60214946
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License Number State | WA
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