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General NPI Number Information
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NPI Number | 1801147038
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Entity Type | Individual
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Provider Name | JOSHUA DAVID OPATOWSKY DSW, LCSW, LICSW
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Gender | Male
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Dates
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Enumeration Date | 09/27/2012
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Last Update Date | 03/25/2023
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Provider Practice Location Address
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Address Line | 7347 RAINIER DR
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City | EVERETT
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State | WA
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Zip | 98203-5772
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Country | US
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Telephone | 661-886-6046
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Fax |
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Provider Business Mailing Address
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Address Line | 7347 RAINIER DR
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City | EVERETT
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State | WA
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Zip | 98203-5772
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Country | US
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Telephone | 661-886-6046
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 192890
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License Number State | AK
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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 | 1451
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License Number State | WY
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW61233547
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 12022-C
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License Number State | AR
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 12784405-3501
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License Number State | UT
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6344
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License Number State | ND
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Taxonomy #7
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6272
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License Number State | OK
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Taxonomy #8
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 80765
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License Number State | CA
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