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General NPI Number Information
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NPI Number | 1114607140
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Entity Type | Organization
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Legal Business Name | CONNECTIONSWA, LLC
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Dates
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Enumeration Date | 07/24/2023
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 11410 NE 122ND WAY STE S250
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City | KIRKLAND
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State | WA
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Zip | 98034-6945
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Country | US
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Telephone | 520-301-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 1205 S 7TH AVE STE 105
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City | PHOENIX
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State | AZ
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Zip | 85007-3913
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Country | US
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Telephone | 602-253-5100
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, CRED
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Name | CHERYL BOYLE
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Credential |
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Telephone | 737-600-6039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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