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NPI 1134090756

NPI 1134090756 : PUYALLUP VALLEY ST. FRANCIS HOUSE : PUYALLUP, WA

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General NPI Number Information
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    NPI Number           |    1134090756
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    Entity Type          |    Organization 
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    Legal Business Name  |    PUYALLUP VALLEY ST. FRANCIS HOUSE 
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Dates
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    Enumeration Date     |    09/16/2025
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    Last Update Date     |    09/16/2025
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Provider Practice Location Address
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    Address Line         |    322 7TH ST SE 
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    City                 |    PUYALLUP
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    State                |    WA
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    Zip                  |    98372-3318
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    Country              |    US
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    Telephone            |    253-770-6991
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 156 
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    City                 |    PUYALLUP
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    State                |    WA
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    Zip                  |    98371-0016
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    Country              |    US
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    Telephone            |    253-770-6991
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR OF OPERATIONS
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    Name                 |     LAURA  ANDERSON 
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    Credential           |    
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    Telephone            |    253-770-6991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251V00000X
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    Taxonomy Name        |    Voluntary or Charitable Agency
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    License Number       |    
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    License Number State |    
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