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General NPI Number Information
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NPI Number | 1801253398
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Entity Type | Individual
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Provider Name | THIERRY KOLPIN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 01/28/2016
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Last Update Date | 02/23/2025
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Provider Practice Location Address
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Address Line | 1050 NE HOSTMARK ST STE 205
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City | POULSBO
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State | WA
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Zip | 98370-7538
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Country | US
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Telephone | 360-200-8811
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Fax | 360-900-0321
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Provider Business Mailing Address
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Address Line | 1050 NE HOSTMARK ST STE 205
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City | POULSBO
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State | WA
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Zip | 98370-7538
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Country | US
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Telephone | 909-992-8500
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Fax | 360-900-0321
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PY61358760
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY27423
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License Number State | CA
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