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General NPI Number Information
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NPI Number | 1538481189
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Entity Type | Individual
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Provider Name | ADRIAN SPENCER LMHC
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Gender | Male
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Dates
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Enumeration Date | 02/24/2010
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Last Update Date | 06/23/2015
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Provider Practice Location Address
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Address Line | 1660 S COLUMBIAN WAY
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City | SEATTLE
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State | WA
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Zip | 98108-1532
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Country | US
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Telephone | 206-764-2135
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Fax |
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Provider Business Mailing Address
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Address Line | 219 QUEEN ANNE AVE N APT 201
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City | SEATTLE
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State | WA
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Zip | 98109-4809
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Country | US
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Telephone | 253-306-1325
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LH60281158
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License Number State | WA
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