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General NPI Number Information
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NPI Number | 1891291340
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Entity Type | Individual
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Provider Name | CLARE L BATLEY LMFTA
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Gender | Female
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Dates
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Enumeration Date | 04/03/2018
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Last Update Date | 04/03/2018
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Provider Practice Location Address
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Address Line | 7902 168TH AVE NE
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City | REDMOND
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State | WA
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Zip | 98052-4445
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Country | US
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Telephone | 425-996-8592
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Fax |
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Provider Business Mailing Address
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Address Line | 283 BERNAL RD
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City | SAN JOSE
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State | CA
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Zip | 95119-1811
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Country | US
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Telephone | 408-891-6967
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFTA.MG.60803813
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License Number State | WA
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