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General NPI Number Information
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NPI Number | 1528414729
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Entity Type | Organization
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Legal Business Name | HARRY DIXON, MA, LMHCA
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Dates
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Enumeration Date | 05/06/2016
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Last Update Date | 05/08/2016
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Provider Practice Location Address
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Address Line | 516 6TH ST S
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City | KIRKLAND
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State | WA
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Zip | 98033-6727
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Country | US
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Telephone | 925-719-0872
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Fax |
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Provider Business Mailing Address
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Address Line | 516 6TH ST S
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City | KIRKLAND
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State | WA
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Zip | 98033-6727
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Country | US
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Telephone | 925-719-0872
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | HARRY DIXON
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Credential |
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Telephone | 425-576-1817
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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 | MC60506606
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License Number State | WA
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