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General NPI Number Information
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NPI Number | 1942864673
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Entity Type | Individual
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Provider Name | LAUREN MILBURN LMHC, BC-DMT
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Gender | Female
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Dates
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Enumeration Date | 04/29/2019
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 805 MADISON ST STE 401
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City | SEATTLE
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State | WA
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Zip | 98104-1172
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Country | US
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Telephone | 206-467-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 805 MADISON ST STE 401
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City | SEATTLE
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State | WA
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Zip | 98104-1172
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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 |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225600000X
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Taxonomy Name | Dance Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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