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General NPI Number Information
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NPI Number | 1003939034
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Entity Type | Organization
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Legal Business Name | PIONEER HUMAN SERVICES
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 01/17/2019
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Provider Practice Location Address
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Address Line | 1111 FAWCETT AVE STE 200
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City | TACOMA
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State | WA
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Zip | 98402-2024
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Country | US
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Telephone | 253-274-0484
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Fax | 253-274-1457
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Provider Business Mailing Address
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Address Line | 7440 W. MARGINAL WAY S. PIONEER HUMAN SERVICES - CONTRACTS
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City | SEATTLE
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State | WA
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Zip | 98108-4141
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Country | US
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Telephone | 206-768-1990
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Fax | 206-768-8910
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Authorized Official
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Title or Position | VICE PRESIDENT, TREATMENT & REENTRY
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Name | MR. STEVE WOOLWORTH
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Credential |
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Telephone | 206-766-7018
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 27114000
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License Number State | WA
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