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General NPI Number Information
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NPI Number | 1972488799
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Entity Type | Individual
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Provider Name | JESSICA BOKER
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Gender | Female
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 17018 15TH AVE NE
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City | SHORELINE
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State | WA
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Zip | 98155-5137
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Country | US
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Telephone | 206-512-6965
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Fax |
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Provider Business Mailing Address
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Address Line | 10724 PHINNEY AVE N
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City | SEATTLE
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State | WA
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Zip | 98133-8731
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Country | US
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Telephone | 773-397-1437
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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