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General NPI Number Information
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NPI Number | 1578522629
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Entity Type | Individual
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Provider Name | JEAN W EAKINS LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1700 EDMONDS AVE NE
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City | RENTON
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State | WA
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Zip | 98056-2713
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Country | US
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Telephone | 425-271-9711
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Fax |
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Provider Business Mailing Address
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Address Line | 5009 TALBOT PL S UNIT D
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City | RENTON
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State | WA
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Zip | 98055-7931
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Country | US
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Telephone | 425-226-6438
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LF918
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License Number State | WA
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