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General NPI Number Information
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NPI Number | 1720143126
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Entity Type | Individual
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Provider Name | KATE O'BRIEN MS, MSW, LICSW
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Gender | Female
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 511 28TH AVENUE EAST
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City | SEATTLE
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State | WA
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Zip | 98112
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Country | US
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Telephone | 206-235-1768
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Fax | 206-721-1768
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Provider Business Mailing Address
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Address Line | 5010 47TH AVENUE SOUTH
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City | SEATTLE
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State | WA
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Zip | 98118-2035
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Country | US
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Telephone | 206-235-1768
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Fax | 206-721-1768
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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 | LW00005474
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License Number State | WA
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