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General NPI Number Information
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NPI Number | 1528809944
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Entity Type | Organization
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Legal Business Name | DEYLIGHT CORPORATION PROFESSIONAL SERVICES
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 753 N 35TH ST STE 208D
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City | SEATTLE
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State | WA
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Zip | 98103-8870
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Country | US
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Telephone | 206-947-7687
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Fax |
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Provider Business Mailing Address
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Address Line | 7709 8TH AVE SW
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City | SEATTLE
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State | WA
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Zip | 98106-2007
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Country | US
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Telephone | 206-947-7687
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. EILEEN WURST
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Credential |
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Telephone | 206-947-7687
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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 |
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License Number State |
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