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General NPI Number Information
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NPI Number | 1528145703
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Entity Type | Individual
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Provider Name | KATHLEEN J ELSNER MSW
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 11/24/2009
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Provider Practice Location Address
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Address Line | 4800 SAND POINT WAY NE M/S CB
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City | SEATTLE
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State | WA
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Zip | 98105-3901
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Country | US
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Telephone | 425-454-9003
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Fax |
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Provider Business Mailing Address
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Address Line | 1309 114TH AVE SE SUITE 316
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City | BELLEVUE
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State | WA
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Zip | 98004-6903
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Country | US
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Telephone | 425-455-1290
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LW00005914
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License Number State | WA
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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 | LW00005914
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License Number State | WA
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