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General NPI Number Information
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NPI Number | 1740091966
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Entity Type | Individual
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Provider Name | MICHAELE RAZI MFT INTERN
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Gender | Female
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 2320 130TH AVE NE STE 240
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City | BELLEVUE
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State | WA
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Zip | 98005-1718
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Country | US
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Telephone | 425-646-2778
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Fax | 425-453-6377
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Provider Business Mailing Address
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Address Line | 13828 432ND AVE SE
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City | NORTH BEND
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State | WA
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Zip | 98045-9550
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Country | US
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Telephone | 206-390-5623
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Fax | 425-453-6377
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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