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General NPI Number Information
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NPI Number | 1497555023
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Entity Type | Individual
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Provider Name | KIARA FITZPATRICK
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Gender | Female
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 23106 100TH AVE W
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City | EDMONDS
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State | WA
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Zip | 98020-5018
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Country | US
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Telephone | 253-576-2233
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Fax |
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Provider Business Mailing Address
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Address Line | 236 E 13TH ST APT 19
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City | NEW YORK
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State | NY
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Zip | 10003-5634
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 61631562
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License Number State | WA
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