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General NPI Number Information
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NPI Number | 1972801454
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Entity Type | Individual
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Provider Name | GERALDINE HELWING
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Gender | Male
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Dates
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Enumeration Date | 03/07/2011
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Last Update Date | 03/07/2011
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Provider Practice Location Address
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Address Line | 627 5TH ST STE 201
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City | MUKILTEO
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State | WA
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Zip | 98275-1580
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Country | US
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Telephone | 425-737-3290
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Fax |
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Provider Business Mailing Address
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Address Line | 609 WOOD PL #2404
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City | EVERETT
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State | WA
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Zip | 98203-2660
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH 00005657
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | LP 4819
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License Number State | MN
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