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General NPI Number Information
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NPI Number | 1396008959
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Entity Type | Individual
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Provider Name | DELENE R RODENBERG
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Gender |
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Dates
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Enumeration Date | 06/19/2012
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Last Update Date | 04/04/2024
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Provider Practice Location Address
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Address Line | 20110 VASHON HIGHWAY SW
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City | VASHON
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State | WA
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Zip | 98070
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Country | US
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Telephone | 206-227-8832
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 12TH AVE S STE 901
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City | SEATTLE
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State | WA
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Zip | 98144-2712
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Country | US
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Telephone | 206-548-3114
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | LF61453299
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License Number State | WA
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