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General NPI Number Information
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NPI Number | 1962787655
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Entity Type | Individual
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Provider Name | JULIA ELIZABETH MCLAWSEN PH.D., R.PSYCH.
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Gender | Female
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Dates
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Enumeration Date | 10/13/2011
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Last Update Date | 05/23/2018
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Provider Practice Location Address
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Address Line | 1400 112TH AVE SE STE 100
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City | BELLEVUE
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State | WA
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Zip | 98004
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Country | US
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Telephone | 206-289-0456
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Fax | 888-573-8472
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Provider Business Mailing Address
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Address Line | 317 109TH AVE SE
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City | BELLEVUE
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State | WA
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Zip | 98004-6342
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Country | US
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Telephone | 206-289-0456
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Fax | 888-573-8472
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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 | 60249064
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | PY60249064
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License Number State | WA
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