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General NPI Number Information
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NPI Number | 1780980433
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Entity Type | Individual
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Provider Name | MAURA ELIZABETH FREEMAN LMHCA, RN
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Gender | Female
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Dates
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Enumeration Date | 01/27/2011
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Last Update Date | 07/19/2012
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Provider Practice Location Address
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Address Line | 1836 WESTLAKE AVE N SUITE 300A
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City | SEATTLE
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State | WA
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Zip | 98109-2755
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Country | US
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Telephone | 206-310-3111
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Fax |
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Provider Business Mailing Address
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Address Line | 4516 NE 106TH ST
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City | SEATTLE
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State | WA
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Zip | 98125-6907
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Country | US
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Telephone | 206-310-3111
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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 | MC6023326
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN00130096
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License Number State | WA
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