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General NPI Number Information
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NPI Number | 1992146518
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Entity Type | Individual
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Provider Name | JANEEN MCGUIRE NELSON MFT
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Gender | Female
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Dates
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Enumeration Date | 07/11/2013
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Last Update Date | 07/11/2013
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Provider Practice Location Address
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Address Line | 17 NW ALDER PL SUITE 204
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City | ISSAQUAH
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State | WA
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Zip | 98027-3200
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Country | US
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Telephone | 425-392-3652
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 854
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City | ISSAQUAH
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State | WA
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Zip | 98027-0031
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Country | US
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Telephone | 425-392-3652
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LF00001685
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License Number State | WA
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