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General NPI Number Information
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NPI Number | 1831257963
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Entity Type | Individual
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Provider Name | AZURE FORTE LMHC, TEP
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Gender | Female
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 03/13/2020
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Provider Practice Location Address
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Address Line | 18500 156TH AVE NE STE 203
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City | WOODINVILLE
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State | WA
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Zip | 98072-4459
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Country | US
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Telephone | 413-768-9120
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Fax |
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Provider Business Mailing Address
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Address Line | 14909 NE 202ND ST
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City | WOODINVILLE
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State | WA
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Zip | 98072-6488
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Country | US
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Telephone | 413-768-9120
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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 |
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License Number State |
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