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General NPI Number Information
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NPI Number | 1962048249
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Entity Type | Individual
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Provider Name | DANIELLE FERRULLI MA, MFT ASSOCIATE
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Gender | Female
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Dates
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Enumeration Date | 11/21/2019
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Last Update Date | 08/09/2022
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Provider Practice Location Address
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Address Line | 23745 225TH WAY SE
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City | MAPLE VALLEY
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State | WA
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Zip | 98038-5294
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Country | US
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Telephone | 253-245-3375
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Fax |
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Provider Business Mailing Address
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Address Line | 21207 SE 274TH PL
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City | MAPLE VALLEY
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State | WA
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Zip | 98038-3272
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Country | US
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Telephone | 714-853-3882
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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 | 60931414
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License Number State | WA
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