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General NPI Number Information
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NPI Number | 1437427184
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Entity Type | Individual
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Provider Name | JENNIFER L. TREBBY MSW
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Gender | Female
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Dates
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Enumeration Date | 12/08/2011
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Last Update Date | 05/17/2024
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Provider Practice Location Address
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Address Line | 5426 CALIFORNIA AVE SW
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City | SEATTLE
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State | WA
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Zip | 98136-1513
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Country | US
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Telephone | 206-590-0917
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Fax | 866-392-7931
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Provider Business Mailing Address
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Address Line | 6026 FAUNTLEROY WAY SW UNIT B
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City | SEATTLE
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State | WA
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Zip | 98136-1615
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Country | US
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Telephone | 781-640-8753
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Fax | 866-392-7931
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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 | LW60311943
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License Number State | WA
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