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General NPI Number Information
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NPI Number | 1164883617
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Entity Type | Organization
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Legal Business Name | THE HOARDING PROJECT
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Dates
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Enumeration Date | 03/11/2016
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Last Update Date | 03/11/2016
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Provider Practice Location Address
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Address Line | 621 PACIFIC AVE SUITE 300
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City | TACOMA
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State | WA
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Zip | 98402-4600
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Country | US
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Telephone | 253-642-6108
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Fax |
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Provider Business Mailing Address
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Address Line | 621 PACIFIC AVE SUITE 300
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City | TACOMA
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State | WA
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Zip | 98402-4600
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JENNIFER MARIA SAMPSON
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Credential | PHD, LMFT
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Telephone | 253-642-6018
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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 | 603-211-567
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License Number State | WA
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