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NPI 1649597758

NPI 1649597758 : MARISOL TOLIVER-SOKOL : BELLEVUE, WA

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General NPI Number Information
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    NPI Number           |    1649597758
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    Entity Type          |    Individual 
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    Provider Name        |    MARISOL TOLIVER-SOKOL
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/28/2010
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    Last Update Date     |    12/06/2022
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Provider Practice Location Address
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    Address Line         |    1400 112TH AVE SE STE 100 
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    City                 |    BELLEVUE
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    State                |    WA
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    Zip                  |    98004-6901
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    Country              |    US
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    Telephone            |    206-222-6757
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    Fax                  |    877-684-8937
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Provider Business Mailing Address
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    Address Line         |    20126 BALLINGER WAY NE # 174 
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    City                 |    SHORELINE
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    State                |    WA
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    Zip                  |    98155-1117
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    Country              |    US
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    Telephone            |    206-222-6757
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    Fax                  |    877-684-8937
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    MD170736
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    License Number State |    OR
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    MD60588907
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    License Number State |    WA
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