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General NPI Number Information
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NPI Number | 1437646841
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Entity Type | Organization
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Legal Business Name | RESONANT RELATIONSHIPS
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Dates
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Enumeration Date | 04/20/2018
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Last Update Date | 04/20/2018
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Provider Practice Location Address
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Address Line | 2606 1/2 3RD AVE
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City | SEATTLE
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State | WA
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Zip | 98121-1214
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Country | US
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Telephone | 978-728-9976
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Fax | 320-386-5151
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Provider Business Mailing Address
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Address Line | 32213 13TH PL SW
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City | FEDERAL WAY
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State | WA
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Zip | 98023-5537
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Country | US
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Telephone | 603-680-0437
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Fax |
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Authorized Official
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Title or Position | LMFT
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Name | JENI WAHLIG
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Credential | MS, PHD
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Telephone | 978-728-9976
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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 | 60791690
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 60633246
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License Number State | WA
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