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General NPI Number Information
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NPI Number | 1487736757
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Entity Type | Individual
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Provider Name | DENNIS EVERETT ALBERSON LCSW
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Gender | Male
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 01/03/2012
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Provider Practice Location Address
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Address Line | 318 E MAIN ST
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City | BATTLE GROUND
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State | WA
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Zip | 98604-8508
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Country | US
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Telephone | 360-666-0470
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Fax | 360-666-5057
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Provider Business Mailing Address
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Address Line | 13911 NE 258TH ST
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City | BATTLE GROUND
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State | WA
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Zip | 98604-9754
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Country | US
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Telephone | 360-666-0470
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Fax | 360-666-5057
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | OR#2244
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW00006070
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License Number State | WA
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