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General NPI Number Information
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NPI Number | 1568652220
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Entity Type | Organization
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Legal Business Name | SOUND MENTAL HEALTH
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Dates
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Enumeration Date | 07/30/2007
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Last Update Date | 03/25/2010
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Provider Practice Location Address
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Address Line | 1600 E OLIVE ST
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City | SEATTLE
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State | WA
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Zip | 98122-2735
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Country | US
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Telephone | 206-302-2200
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Fax | 206-302-2210
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Provider Business Mailing Address
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Address Line | 1600 E OLIVE ST
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City | SEATTLE
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State | WA
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Zip | 98122-2735
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Country | US
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Telephone | 206-302-2200
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Fax | 206-302-2210
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. PAUL M EISENHAUER
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Credential | CFO, MBA, MA
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Telephone | 206-302-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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