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General NPI Number Information
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NPI Number | 1467077339
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Entity Type | Individual
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Provider Name | ALEXANDER SLAVIN LMHCA
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Gender | Male
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Dates
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Enumeration Date | 06/16/2020
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Last Update Date | 06/16/2020
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Provider Practice Location Address
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Address Line | 1700 WESTLAKE AVE N # 7000
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City | SEATTLE
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State | WA
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Zip | 98109-3012
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Country | US
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Telephone | 888-364-5977
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Fax |
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Provider Business Mailing Address
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Address Line | 2021 4TH AVE APT 301
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City | SEATTLE
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State | WA
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Zip | 98121-2427
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Country | US
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Telephone | 314-853-6725
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 61004604
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License Number State | WA
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