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General NPI Number Information
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NPI Number | 1922799196
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Entity Type | Organization
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Legal Business Name | SKYE WHITE MSW LICSW PLLC
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Dates
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Enumeration Date | 05/17/2023
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Last Update Date | 06/30/2023
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Provider Practice Location Address
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Address Line | 4801 224TH ST SW
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City | MOUNTLAKE TERRACE
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State | WA
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Zip | 98043-4031
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Country | US
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Telephone | 509-630-9636
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Fax |
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Provider Business Mailing Address
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Address Line | 5608 17TH AVE NW STE 1673
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City | SEATTLE
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State | WA
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Zip | 98107-5232
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SKYE EMILY WHITE
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Credential | MSW LICSW
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Telephone | 206-787-9049
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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