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General NPI Number Information
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NPI Number | 1609344258
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Entity Type | Individual
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Provider Name | EVEREST JAY ALEXANDER MSW
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Gender | Male
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Dates
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Enumeration Date | 11/12/2018
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 6840 FORT DENT WAY STE 350
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City | TUKWILA
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State | WA
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Zip | 98188-8512
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Country | US
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Telephone | 253-850-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 27022 CARDIFF AVE
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City | KENT
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State | WA
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Zip | 98032-7198
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Country | US
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Telephone | 206-638-0997
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 1609344258
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License Number State | WA
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