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General NPI Number Information
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NPI Number | 1699172320
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Entity Type | Individual
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Provider Name | SHANYN GILIO-TENAN LICSW
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Gender | Female
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Dates
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Enumeration Date | 11/24/2014
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Last Update Date | 11/24/2014
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Provider Practice Location Address
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Address Line | 2600 SW BARTON ST STE A24
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City | SEATTLE
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State | WA
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Zip | 98126-3993
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Country | US
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Telephone | 541-517-1942
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Fax |
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Provider Business Mailing Address
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Address Line | 14652 21ST AVE SW
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City | BURIEN
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State | WA
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Zip | 98166-1606
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Country | US
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Telephone | 541-517-1942
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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 | 47-2394167
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License Number State | WA
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