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NPI 1033918933

NPI 1033918933 : CHOICE REGIONAL HEALTH NETWORK : OLYMPIA, WA

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General NPI Number Information
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    NPI Number           |    1033918933
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHOICE REGIONAL HEALTH NETWORK 
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Dates
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    Enumeration Date     |    03/12/2025
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    Last Update Date     |    03/12/2025
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Provider Practice Location Address
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    Address Line         |    724 COLUMBIA ST NW STE 400 
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    City                 |    OLYMPIA
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    State                |    WA
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    Zip                  |    98501-1298
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    Country              |    US
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    Telephone            |    360-539-7576
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    Fax                  |    360-838-1916
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Provider Business Mailing Address
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    Address Line         |    724 COLUMBIA ST NW STE 400 
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    City                 |    OLYMPIA
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    State                |    WA
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    Zip                  |    98501-1298
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    Country              |    US
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    Telephone            |    360-539-7576
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    Fax                  |    360-838-1916
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Authorized Official
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    Title or Position    |    CHIEF EXECUTIVE OFFICER
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    Name                 |    MR. JP  ANDERSON 
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    Credential           |    
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    Telephone            |    360-539-7576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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