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General NPI Number Information
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NPI Number | 1730305319
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Entity Type | Organization
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Legal Business Name | MOTIVATIONS
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 09/09/2008
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Provider Practice Location Address
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Address Line | 17311 135TH AVE NE SUITE B750
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City | WOODINVILLE
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State | WA
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Zip | 98072-3519
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Country | US
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Telephone | 425-481-2112
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Fax | 425-379-0169
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Provider Business Mailing Address
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Address Line | 17311 135TH AVE NE SUITE B-750
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City | WOODINVILLE
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State | WA
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Zip | 98072-3519
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Country | US
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Telephone | 425-481-2112
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Fax | 425-379-0169
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Authorized Official
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Title or Position | CO-OWNER ADMINISTRATIVE ASSISTANT
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Name | KAEREN P FOUTS
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Credential |
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Telephone | 425-481-2112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 600522884
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License Number State | WA
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