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General NPI Number Information
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NPI Number | 1497206338
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Entity Type | Individual
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Provider Name | HILARY WOGAN MS.,LF
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Gender | Female
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Dates
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Enumeration Date | 10/15/2016
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Last Update Date | 10/15/2016
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Provider Practice Location Address
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Address Line | 21508 TRAMP HARBOR RD SW
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City | VASHON
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State | WA
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Zip | 98070-6710
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Country | US
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Telephone | 206-999-0078
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Fax | 206-463-6347
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Provider Business Mailing Address
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Address Line | 28109 101ST AVE SW
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City | VASHON
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State | WA
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Zip | 98070-8916
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Country | US
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Telephone | 206-999-0078
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Fax | 206-463-6347
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LF 00002248
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License Number State | WA
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