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General NPI Number Information
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NPI Number | 1811817554
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Entity Type | Individual
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Provider Name | KAI HE
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Gender | Male
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 19316 BOTHELL WAY NE
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City | BOTHELL
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State | WA
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Zip | 98011-6022
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Country | US
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Telephone | 206-619-9267
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Fax |
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Provider Business Mailing Address
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Address Line | JINTANG RD LANE 155 NO. 14 ROOM 1102
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City | SHANGHAI
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State | SHANGHAI
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Zip | 200333
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Country | CN
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Telephone |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSYC.PY.70064378
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License Number State | WA
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