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General NPI Number Information
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NPI Number | 1134282536
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Entity Type | Organization
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Legal Business Name | FUTURE VISIONS PROGRAM INC
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 620 M ST NE STE. 2
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City | AUBURN
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State | WA
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Zip | 98002-4501
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Country | US
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Telephone | 253-735-2718
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Fax | 253-939-5792
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Provider Business Mailing Address
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Address Line | 620 M ST NE STE. 2
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City | AUBURN
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State | WA
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Zip | 98002-4501
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Country | US
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Telephone | 253-735-2718
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Fax | 253-939-5792
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Authorized Official
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Title or Position | OFFICER
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Name | MS. KAREN ANNE PARKER
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Credential | CDP
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Telephone | 253-735-2718
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | WA
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