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General NPI Number Information
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NPI Number | 1477060762
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Entity Type | Individual
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Provider Name | OLIVIA PRYOR LMHC
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Gender | Female
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Dates
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Enumeration Date | 01/08/2018
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Last Update Date | 07/02/2020
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Provider Practice Location Address
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Address Line | 5100 S DAWSON ST STE 103
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City | SEATTLE
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State | WA
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Zip | 98118-2100
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Country | US
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Telephone | 206-408-2060
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Fax |
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Provider Business Mailing Address
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Address Line | 2606 S 135TH ST
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City | SEATAC
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State | WA
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Zip | 98168-3867
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Country | US
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Telephone | 831-747-4690
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LH60823456
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License Number State | WA
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