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General NPI Number Information
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NPI Number | 1053574905
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Entity Type | Organization
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Legal Business Name | DOORWAY OF HOPE MINISTRIES
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 07/09/2008
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Provider Practice Location Address
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Address Line | 9920 270TH STREET NW SUITE 201
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City | STANWOOD
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State | WA
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Zip | 98292
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Country | US
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Telephone | 425-350-3946
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1244
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City | STANWOOD
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State | WA
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Zip | 98292-1244
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Country | US
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Telephone | 425-350-3946
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR/THERAPIST
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Name | MS. REBEKAH ANNE JOHNSTON
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Credential | MA, RC
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Telephone | 425-350-3946
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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 | 602139356
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License Number State | WA
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