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General NPI Number Information
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NPI Number | 1407736069
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Entity Type | Individual
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Provider Name | HEATHER CAPITANIO
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Gender | Female
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 4739 UNIVERSITY WAY NE # 2032
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City | SEATTLE
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State | WA
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Zip | 98105-4412
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Country | US
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Telephone | 888-425-4605
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Fax |
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Provider Business Mailing Address
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Address Line | 4739 UNIVERSITY WAY NE # 2032
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City | SEATTLE
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State | WA
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Zip | 98105-4412
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Country | US
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Telephone | 888-425-4605
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | 20222
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | NCPS.200068
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License Number State |
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Taxonomy #3
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | 2025-13996-01
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State | SC
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Taxonomy #5
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | APS.006413
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License Number State | OH
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Taxonomy #6
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State | NH
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Taxonomy #7
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | CPSRP-7751
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License Number State | CT
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