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General NPI Number Information
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NPI Number | 1518352988
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Entity Type | Organization
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Legal Business Name | CLARITY CONNECTION, LLC
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Dates
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Enumeration Date | 04/02/2015
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Last Update Date | 04/02/2015
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Provider Practice Location Address
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Address Line | 374 N BEACH RD
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City | EASTSOUND
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State | WA
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Zip | 98245-8962
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Country | US
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Telephone | 360-375-7103
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Fax | 206-407-3480
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Provider Business Mailing Address
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Address Line | PO BOX 996
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City | EASTSOUND
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State | WA
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Zip | 98245-0996
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Country | US
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Telephone | 360-375-7103
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Fax | 206-407-3480
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CHRISTINA DENISE WOLF
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Credential | MA
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Telephone | 360-375-7103
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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 | LH 60497642
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License Number State | WA
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