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General NPI Number Information
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NPI Number | 1699225888
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Entity Type | Organization
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Legal Business Name | CLARITAS COUNSELING AND EVALUATIONS, PLC
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Dates
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Enumeration Date | 10/11/2016
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Last Update Date | 10/11/2016
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Provider Practice Location Address
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Address Line | 901 BOREN AVE STE 1800
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City | SEATTLE
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State | WA
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Zip | 98104-3595
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Country | US
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Telephone | 206-661-5852
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Fax | 206-624-6975
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Provider Business Mailing Address
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Address Line | 901 BOREN AVE STE 1800
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City | SEATTLE
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State | WA
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Zip | 98104-3595
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Country | US
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Telephone | 206-661-5852
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Fax | 206-624-6975
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Authorized Official
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Title or Position | OWNER
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Name | DR. BENJAMIN R DOBBECK
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Credential | PSY.D.
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Telephone | 206-661-5852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | PY00003409
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License Number State | WA
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