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General NPI Number Information
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NPI Number | 1134114283
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Entity Type | Organization
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Legal Business Name | SHERWOOD COMMUNITY SERVICES
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Dates
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Enumeration Date | 09/14/2005
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Last Update Date | 11/10/2021
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Provider Practice Location Address
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Address Line | 402 91ST AVE NE
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City | LAKE STEVENS
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State | WA
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Zip | 98258-2530
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Country | US
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Telephone | 425-334-4071
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Fax | 425-335-1894
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Provider Business Mailing Address
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Address Line | 402 91ST AVE NE
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City | LAKE STEVENS
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State | WA
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Zip | 98258-2530
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Country | US
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Telephone | 425-334-4071
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Fax | 425-335-1894
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Authorized Official
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Title or Position | BILLING ADMINISTRATOR
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Name | MR. JULIE ADAMS
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Credential |
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Telephone | 425-404-3107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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