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General NPI Number Information
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NPI Number | 1942680624
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Entity Type | Organization
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Legal Business Name | THEORIES OF MIND PLLC
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Dates
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Enumeration Date | 06/08/2015
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Last Update Date | 03/22/2016
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Provider Practice Location Address
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Address Line | 345 118TH AVE SE STE 100
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City | BELLEVUE
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State | WA
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Zip | 98005-3587
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Country | US
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Telephone | 206-369-6234
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Fax |
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Provider Business Mailing Address
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Address Line | 345 118TH AVE SE STE 100
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City | BELLEVUE
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State | WA
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Zip | 98005-3587
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Country | US
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Telephone | 206-369-6234
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. ARIEL DANLYS CASPE-DETZER
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Credential | MA
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Telephone | 425-417-2263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH60489768
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH60420811
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License Number State | WA
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