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General NPI Number Information
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NPI Number | 1962996884
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Entity Type | Organization
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Legal Business Name | PALADY INTERNATIONAL, LLC
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Dates
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Enumeration Date | 06/15/2018
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Last Update Date | 06/15/2018
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Provider Practice Location Address
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Address Line | 621 PACIFIC AVE STE 302
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City | TACOMA
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State | WA
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Zip | 98402-4611
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Country | US
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Telephone | 206-795-2995
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Fax |
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Provider Business Mailing Address
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Address Line | 26828 MAPLE VALLEY HWY STE 151
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City | MAPLE VALLEY
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State | WA
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Zip | 98038
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Country | US
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Telephone | 206-795-2995
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER/ CEO
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Name | MRS. CARLY JEAN PALADY
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Credential | MSW, LICSW
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Telephone | 206-795-2995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW60705095
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License Number State | WA
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