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General NPI Number Information
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NPI Number | 1407942642
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Entity Type | Individual
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Provider Name | MICHELLE STERN CANFIELD PHD, LMFT
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Gender | Female
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 1400 112TH AVE SE STE 100
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City | BELLEVUE
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State | WA
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Zip | 98004-6901
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Country | US
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Telephone | 425-467-1234
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Fax | 206-569-2050
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Provider Business Mailing Address
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Address Line | PO BOX 12382
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City | MILL CREEK
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State | WA
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Zip | 98082-0382
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Country | US
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Telephone | 425-467-1234
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Fax | 425-569-2050
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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 | LF00002259
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License Number State | WA
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