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General NPI Number Information
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NPI Number | 1134178999
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Entity Type | Organization
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Legal Business Name | PEACEHEALTH
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 400 NE MOTHER JOSEPH PL
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City | VANCOUVER
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State | WA
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Zip | 98664-3200
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Country | US
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Telephone | 360-256-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 1115 SE 164TH AVE DEPT 328
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City | VANCOUVER
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State | WA
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Zip | 98683-8003
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Country | US
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Telephone | 360-729-1462
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Fax | 360-729-3104
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Authorized Official
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Title or Position | SYS VP FIN INTEGRITY/CONTROLLER
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Name | JEFFREY SEIRER
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Credential |
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Telephone | 360-729-1132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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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 | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | H-170
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | H-170
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | H-170
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License Number State | WA
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