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General NPI Number Information
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NPI Number | 1659715969
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Entity Type | Organization
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Legal Business Name | BLUEPRINTS
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Dates
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Enumeration Date | 04/18/2013
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Last Update Date | 04/18/2013
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Provider Practice Location Address
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Address Line | 5624 7TH AVE NW
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City | SEATTLE
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State | WA
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Zip | 98107-2729
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Country | US
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Telephone | 206-384-4142
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Fax |
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Provider Business Mailing Address
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Address Line | 5624 7TH AVE NW
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City | SEATTLE
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State | WA
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Zip | 98107
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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 | COACH
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Name | MICHAELAN PRICE
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Credential | LMHCA
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Telephone | 206-384-4142
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 60340917
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License Number State | WA
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