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General NPI Number Information
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NPI Number | 1780153106
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Entity Type | Individual
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Provider Name | SKYE WHITE
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Gender | Female
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Dates
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Enumeration Date | 11/14/2018
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Last Update Date | 04/29/2024
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Provider Practice Location Address
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Address Line | 5608 17TH AVE NW STE 1673
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City | SEATTLE
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State | WA
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Zip | 98107-5232
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Country | US
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Telephone | 206-787-9049
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Fax | 206-485-3997
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Provider Business Mailing Address
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Address Line | 5608 17TH AVE NW STE 1673
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City | SEATTLE
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State | WA
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Zip | 98107-5232
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Country | US
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Telephone | 206-787-9049
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Fax | 206-485-3997
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW60995137
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License Number State | WA
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