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General NPI Number Information
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NPI Number | 1609568476
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Entity Type | Organization
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Legal Business Name | STIM LLC
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Dates
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Enumeration Date | 05/22/2023
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Last Update Date | 05/22/2023
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Provider Practice Location Address
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Address Line | 2272 E HOWE ST
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City | SEATTLE
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State | WA
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Zip | 98112-2932
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Country | US
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Telephone | 206-276-9009
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Fax |
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Provider Business Mailing Address
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Address Line | 10432 CRESTWOOD DR S
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City | SEATTLE
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State | WA
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Zip | 98178-2710
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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 | BEHAVIOR ANALYST
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Name | EOWYN SINCLAIR
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Credential | BCBA, LBA
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Telephone | 206-612-7736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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