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General NPI Number Information
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NPI Number | 1720028988
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Entity Type | Organization
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Legal Business Name | MEIER CLINICS OF CALIFORNIA INC
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 12/10/2014
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Provider Practice Location Address
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Address Line | 22232 17TH AVE SE SUITE 312
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City | BOTHELL
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State | WA
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Zip | 98021-7430
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Country | US
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Telephone | 630-653-1717
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Fax | 630-653-7926
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Provider Business Mailing Address
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Address Line | 22232 17TH AVE SE SUITE 312
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City | BOTHELL
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State | WA
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Zip | 98021-7430
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Country | US
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Telephone | 630-653-1717
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Fax | 630-653-7926
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Authorized Official
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Title or Position | NAT. EX. ASST.
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Name | SANDY NEWPORT
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Credential |
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Telephone | 630-653-1717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | RC00044759
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | RC00044760
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH00005033
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY00001807
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY00001469
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License Number State | WA
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Taxonomy #6
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY00003289
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License Number State | WA
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Taxonomy #7
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY00002604
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License Number State | WA
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Taxonomy #8
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY00003255
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License Number State | WA
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Taxonomy #9
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW00006435
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License Number State | WA
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Taxonomy #10
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY00002496
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License Number State | WA
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