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General NPI Number Information
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NPI Number | 1750522686
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Entity Type | Organization
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Legal Business Name | JOHN SCHWAB PH.D. INC.
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Dates
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Enumeration Date | 03/24/2009
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Last Update Date | 04/02/2009
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Provider Practice Location Address
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Address Line | 600 1ST AVE STE 401
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City | SEATTLE
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State | WA
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Zip | 98104-2221
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Country | US
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Telephone | 206-780-3976
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Fax |
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Provider Business Mailing Address
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Address Line | 6581 NE NEW BROOKLYN RD
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City | BAINBRIDGE ISLAND
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State | WA
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Zip | 98110-2695
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Country | US
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Telephone | 206-780-3976
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. JOHN SCHWAB
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Credential | PH.D.
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Telephone | 206-780-3976
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY 2988
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License Number State | WA
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