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General NPI Number Information
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NPI Number | 1578015145
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Entity Type | Individual
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Provider Name | EDIN DAIL DENISON LCSW, LICSW
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Gender | Male
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Dates
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Enumeration Date | 10/31/2016
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 3327 COLBY AVE
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City | EVERETT
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State | WA
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Zip | 98201
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Country | US
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Telephone | 360-564-0930
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 257
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City | OLYMPIA
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State | WA
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Zip | 98507-0257
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Country | US
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Telephone | 360-564-0903
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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 | LW61446513
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License Number State | WA
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