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NPI 1699030668

NPI 1699030668 : MR. KIERAN SAWYER MCMONAGLE : SEATTLE, WA

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General NPI Number Information
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    NPI Number           |    1699030668
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    Entity Type          |    Individual 
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    Provider Name        |    MR. KIERAN SAWYER MCMONAGLE
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/05/2012
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    Last Update Date     |    11/11/2025
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Provider Practice Location Address
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    Address Line         |    3417 EVANSTON AVE N 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98103-8626
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    Country              |    US
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    Telephone            |    206-877-3330
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8648 BEACON AVE S 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98118-4526
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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    |    
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    LF60608556
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    License Number State |    WA
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