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General NPI Number Information
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NPI Number | 1598571424
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Entity Type | Individual
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Provider Name | ALISON NEWMAN GAFFNEY MONTEZ
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Gender | Female
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 8490 MUKILTEO SPEEDWAY STE 106
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City | MUKILTEO
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State | WA
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Zip | 98275-3208
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Country | US
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Telephone | 360-474-3434
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Fax |
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Provider Business Mailing Address
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Address Line | 2926 151ST PL SW APT Q104
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City | LYNNWOOD
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State | WA
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Zip | 98087-2483
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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 | LW60640906
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License Number State | WA
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