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General NPI Number Information
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NPI Number | 1457746836
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE COUNSELOR
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Dates
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Enumeration Date | 04/01/2015
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Last Update Date | 04/01/2015
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Provider Practice Location Address
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Address Line | 16306 126TH AVE NE
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City | WOODINVILLE
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State | WA
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Zip | 98072-7969
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Country | US
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Telephone | 425-485-7230
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Fax |
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Provider Business Mailing Address
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Address Line | 16306 126TH AVE NE
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City | WOODINVILLE
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State | WA
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Zip | 98072-7969
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Country | US
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Telephone | 425-485-7230
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Fax |
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Authorized Official
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Title or Position | LISCENSED MENTAL HEALTH COUNSELOR
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Name | MRS. RUTH ESTHER JAMES
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Credential | L.M.H.C.
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Telephone | 425-485-7230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | LH60174969
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License Number State | WA
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