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General NPI Number Information
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NPI Number | 1740245851
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Entity Type | Individual
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Provider Name | VILMA BOON LMHC
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Gender | Female
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 10/02/2012
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Provider Practice Location Address
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Address Line | 1191 NW TAHOE LANE
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City | SILVERDALE
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State | WA
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Zip | 98383
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Country | US
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Telephone | 360-698-4860
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Fax | 360-698-3848
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Provider Business Mailing Address
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Address Line | 1191 NW TAHOE LANE
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City | SILVERDALE
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State | WA
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Zip | 98383
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Country | US
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Telephone | 360-698-4860
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Fax | 360-698-3849
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH000008424
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LH00008424
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License Number State | WA
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