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General NPI Number Information
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NPI Number | 1801200894
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Entity Type | Individual
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Provider Name | MR. ANDREW CARNAHAN
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Gender | Male
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Dates
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Enumeration Date | 06/17/2014
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 600 NORTH 36TH ST 214
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City | SEATTLE
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State | WA
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Zip | 98103
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Country | US
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Telephone | 425-330-9282
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Fax |
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Provider Business Mailing Address
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Address Line | 20126 BALLINGER WAY NE 71
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City | SHORELINE
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State | WA
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Zip | 98155
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Country | US
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Telephone | 425-330-9282
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CP 60400355
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MC60778002
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License Number State | WA
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