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General NPI Number Information
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NPI Number | 1962912105
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Entity Type | Individual
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Provider Name | CUYLER ANN SIMMONS MSW, LSWAIC, CDPT
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Gender | Female
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Dates
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Enumeration Date | 10/02/2017
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Last Update Date | 01/03/2019
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Provider Practice Location Address
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Address Line | 3805 108TH AVE NE STE 204
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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 | 425-242-1713
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Fax | 425-242-0587
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Provider Business Mailing Address
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Address Line | 3805 108TH AVE NE STE 204
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City | BELLEVUE
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State | WA
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Zip | 98004-7613
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Country | US
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Telephone | 425-242-1713
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Fax | 425-242-0587
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CO60877922
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SC60879140
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License Number State | WA
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