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General NPI Number Information
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NPI Number | 1558639070
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Entity Type | Individual
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Provider Name | MELISSA ANNE HETZEL MSW
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Gender | Female
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Dates
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Enumeration Date | 12/12/2011
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 12800 BOTHELL EVERETT HWY
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City | EVERETT
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State | WA
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Zip | 98208-6642
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Country | US
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Telephone | 425-316-5062
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3360
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City | PORTLAND
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State | OR
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Zip | 97208-3360
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 14139
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License Number State | AZ
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