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General NPI Number Information
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NPI Number | 1912980343
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Entity Type | Individual
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Provider Name | SUSAN B STERLING PHD
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Gender | Female
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Dates
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Enumeration Date | 11/21/2005
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Last Update Date | 09/13/2007
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Provider Practice Location Address
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Address Line | 310 3RD AVE NE #122
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City | ISSAQUAH
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State | WA
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Zip | 98027-3300
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Country | US
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Telephone | 425-369-8224
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Fax | 425-369-8215
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Provider Business Mailing Address
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Address Line | PO BOX 2648
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City | ISSAQUAH
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State | WA
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Zip | 98027-0121
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Country | US
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Telephone | 425-301-3281
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Fax | 425-292-0225
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | WAPY2293
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License Number State | WA
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