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General NPI Number Information
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NPI Number | 1730737776
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Entity Type | Individual
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Provider Name | MS. KATARINA MICHELLE LINDAHL
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Gender | Female
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Dates
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Enumeration Date | 09/03/2019
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 3815 100TH ST SW
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City | LAKEWOOD
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State | WA
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Zip | 98499-4401
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Country | US
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Telephone | 775-453-8167
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Fax |
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Provider Business Mailing Address
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Address Line | 14714 146TH AVE E
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City | ORTING
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State | WA
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Zip | 98360-8436
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Country | US
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Telephone | 864-380-9079
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 61674914
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License Number State | WA
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