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General NPI Number Information
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NPI Number | 1689982720
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Entity Type | Individual
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Provider Name | SHARON BETH KROLL MSW, LICSW
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Gender | Female
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Dates
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Enumeration Date | 09/23/2010
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2201 LIND AVENUE SW, SUITE 160 SUITE 160
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City | RENTON
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State | WA
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Zip | 98057
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Country | US
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Telephone | 425-525-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 410 2ND AVE S APT 112
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City | KIRKLAND
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State | WA
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Zip | 98033-6680
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Country | US
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Telephone | 360-951-1407
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW60270328
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State | NY
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