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General NPI Number Information
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NPI Number | 1891173894
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Entity Type | Individual
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Provider Name | BAKARY CEESAY
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Gender | Male
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Dates
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Enumeration Date | 05/11/2015
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Last Update Date | 05/11/2015
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Provider Practice Location Address
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Address Line | 10710 MUKILTEO SPEEDWAY
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City | MUKILTEO
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State | WA
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Zip | 98275-5021
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Country | US
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Telephone | 425-349-8552
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Fax |
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Provider Business Mailing Address
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Address Line | 9917 HOLLY DR APT B108
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City | EVERETT
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State | WA
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Zip | 98204-1115
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Country | US
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Telephone | 425-876-7986
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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