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General NPI Number Information
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NPI Number | 1780290361
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE PEER COUNSELING LLC
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Dates
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Enumeration Date | 09/19/2020
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Last Update Date | 09/19/2020
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Provider Practice Location Address
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Address Line | 3250 AIRPORT WAY S STE 608
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City | SEATTLE
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State | WA
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Zip | 98134-2172
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Country | US
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Telephone | 206-486-4921
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 S JACKSON ST APT 242
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City | SEATTLE
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State | WA
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Zip | 98144-2182
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Country | US
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Telephone | 206-486-4921
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Fax |
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Authorized Official
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Title or Position | MEMBER/PEER COUNSELOR
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Name | JESSICA ERIN SCALZO
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Credential |
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Telephone | 206-486-4921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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