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General NPI Number Information
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NPI Number | 1104692607
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Entity Type | Organization
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Legal Business Name | THROUGH THE LOOKING GLASS LLC
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Dates
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Enumeration Date | 11/27/2023
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 9318 62ND PL SE
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City | SNOHOMISH
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State | WA
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Zip | 98290-9267
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Country | US
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Telephone | 360-348-7476
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Fax |
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Provider Business Mailing Address
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Address Line | 9318 62ND PL SE
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City | SNOHOMISH
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State | WA
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Zip | 98290-9267
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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 | OWNER
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Name | MELISSA MACDONALD
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Credential | MS, RHIT
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Telephone | 360-348-7476
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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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