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General NPI Number Information
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NPI Number | 1447654611
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE MENTAL HEALTH AND WELLNESS, LLC
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Dates
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Enumeration Date | 10/17/2014
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Last Update Date | 10/17/2014
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Provider Practice Location Address
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Address Line | 12826 SE 40TH LN SUITE 203
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City | BELLEVUE
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State | WA
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Zip | 98006-4278
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Country | US
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Telephone | 425-281-7977
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Fax | 425-671-7010
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Provider Business Mailing Address
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Address Line | 12826 SE 40TH LN SUITE 203
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City | BELLEVUE
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State | WA
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Zip | 98006-4278
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Country | US
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Telephone | 425-281-7977
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Fax | 425-671-7010
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Authorized Official
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Title or Position | PSYCHOLOGIST/OWNER
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Name | BETH LYNN MURPHY
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Credential | PSY.D
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Telephone | 425-281-7977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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