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General NPI Number Information
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NPI Number | 1831358621
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Entity Type | Individual
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Provider Name | LORETTA CHRISTINE BAUD LMHC
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Gender | Female
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Dates
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Enumeration Date | 06/05/2008
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Last Update Date | 03/19/2013
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Provider Practice Location Address
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Address Line | 2719 E MADISON ST SOUND MENTAL HEALTH
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City | SEATTLE
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State | WA
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Zip | 98112-4752
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Country | US
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Telephone | 206-302-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 E OLIVE ST SOUND MENTAL HEALTH
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City | SEATTLE
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State | WA
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Zip | 98122-2735
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Country | US
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Telephone | 206-302-2200
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Fax | 206-302-2210
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | RC00059012
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | RC00059012
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH60304974
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LH60304974
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License Number State | WA
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