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General NPI Number Information
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NPI Number | 1700969524
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Entity Type | Individual
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Provider Name | EDYTA ANNA SKARBEK PH.D.
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Gender | Female
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 09/24/2008
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Provider Practice Location Address
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Address Line | 1660 S COLUMBIAN WAY, PSHCS, MAIL STOP: S - 116 - DDTP
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City | SEATTLE
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State | WA
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Zip | 98108
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Country | US
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Telephone | 206-764-2163
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Fax |
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Provider Business Mailing Address
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Address Line | 224 PONTIUS AVE N APT. # 302
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City | SEATTLE
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State | WA
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Zip | 98109-5418
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Country | US
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Telephone | 206-624-0299
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY 00003812
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | PY 00003812
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | PY 00003812
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY 00003812
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | PY 00003812
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License Number State | WA
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