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General NPI Number Information
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NPI Number | 1760601223
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Entity Type | Organization
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Legal Business Name | MAITRI INSTITUTE, PLLC
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1309 114TH AVE SE SUITE 210
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City | BELLEVUE
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State | WA
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Zip | 98004-6903
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Country | US
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Telephone | 425-688-8585
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Fax | 425-637-1150
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Provider Business Mailing Address
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Address Line | 1309 114TH AVE SE SUITE 210
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City | BELLEVUE
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State | WA
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Zip | 98004-6903
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Country | US
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Telephone | 425-688-8585
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Fax | 425-637-1150
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Authorized Official
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Title or Position | CO-OWNER, THERAPIST
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Name | SANDRA C. ZBOYAN
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Credential | L.M.F.T.
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Telephone | 425-688-8585
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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 | LF00001096
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License Number State | WA
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