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General NPI Number Information
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NPI Number | 1831876085
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Entity Type | Individual
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Provider Name | BRYANT HENRY MASCARENAS MSW
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Gender | Male
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Dates
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Enumeration Date | 06/29/2023
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 1600 S LANE ST
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City | SEATTLE
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State | WA
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Zip | 98144-2810
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Country | US
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Telephone | 206-682-2371
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Fax |
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Provider Business Mailing Address
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Address Line | 515 3RD AVE
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City | SEATTLE
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State | WA
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Zip | 98104-2304
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Country | US
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Telephone | 206-464-1570
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Fax | 206-624-4196
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SC61544501
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License Number State | WA
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