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General NPI Number Information
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NPI Number | 1699580555
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Entity Type | Individual
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Provider Name | JASMIN KYRI BATES-BILLIE
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Gender | Female
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 6505 216TH ST SW STE 100
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City | MOUNTLAKE TERRACE
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State | WA
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Zip | 98043-2089
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Country | US
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Telephone | 425-687-6463
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Fax |
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Provider Business Mailing Address
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Address Line | 238 1/2 N STILLAGUAMISH AVE
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City | ARLINGTON
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State | WA
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Zip | 98223-1421
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Country | US
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Telephone | 203-923-3030
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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 | SC61658316
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License Number State | WA
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