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General NPI Number Information
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NPI Number | 1770360786
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Entity Type | Individual
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Provider Name | DR. KRISTIN MCCOWAN
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Gender | Female
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Dates
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Enumeration Date | 09/12/2023
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 14920 WESTMINSTER WAY N STE 1A
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City | SHORELINE
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State | WA
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Zip | 98133-6445
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Country | US
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Telephone | 314-482-2288
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Fax |
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Provider Business Mailing Address
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Address Line | 4101 15TH AVE NE
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City | SEATTLE
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State | WA
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Zip | 98105-6250
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Country | US
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Telephone | 314-482-2888
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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