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General NPI Number Information
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NPI Number | 1720419716
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF WASHINGTON
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Dates
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Enumeration Date | 12/02/2013
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Last Update Date | 12/02/2013
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Provider Practice Location Address
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Address Line | 3935 UNIVERSITY WAY NE BOX 355915
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City | SEATTLE
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State | WA
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Zip | 98195-5915
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Country | US
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Telephone | 206-543-2782
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Fax |
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Provider Business Mailing Address
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Address Line | 3935 UNIVERSITY WAY NE BOX 355915
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City | SEATTLE
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State | WA
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Zip | 98195-5915
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Country | US
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Telephone | 206-543-2782
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MARSHA MARIE LINEHAN
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Credential | PH.D.
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Telephone | 206-543-9886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | H-128
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | H-128
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number | H-128
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | H-128
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License Number State | WA
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