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General NPI Number Information
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NPI Number | 1841467784
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Entity Type | Individual
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Provider Name | CATHERINE PAGANO M.S.W.
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Gender | Female
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Dates
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Enumeration Date | 05/09/2008
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Last Update Date | 05/09/2008
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Provider Practice Location Address
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Address Line | 4511 DENSMORE AVE N
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City | SEATTLE
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State | WA
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Zip | 98103-6783
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Country | US
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Telephone | 206-407-7054
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Fax |
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Provider Business Mailing Address
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Address Line | 5372 SW ADMIRAL WAY
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City | SEATTLE
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State | WA
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Zip | 98116-2248
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Country | US
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Telephone | 206-407-7054
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW00004395
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License Number State | WA
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