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General NPI Number Information
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NPI Number | 1689279150
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Entity Type | Organization
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Legal Business Name | AIMEE ASGARIAN PSYD LLC
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Dates
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Enumeration Date | 12/02/2020
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Last Update Date | 12/18/2020
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Provider Practice Location Address
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Address Line | 1455 NW LEARY WAY STE 400
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City | SEATTLE
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State | WA
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Zip | 98107-5138
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Country | US
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Telephone | 206-331-4011
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Fax |
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Provider Business Mailing Address
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Address Line | 7045 13TH AVE NW
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City | SEATTLE
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State | WA
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Zip | 98117-5304
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Country | US
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Telephone | 360-961-0584
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Fax |
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Authorized Official
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Title or Position | NEUROPSYCHOLOGIST
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Name | DR. AIMEE ASGARIAN
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Credential | PSYD
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Telephone | 360-961-0584
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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 |
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License Number State |
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