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General NPI Number Information
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NPI Number | 1164992202
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Entity Type | Organization
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Legal Business Name | NEIGHBORHOOD HOUSE
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Dates
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Enumeration Date | 12/02/2018
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Last Update Date | 12/02/2018
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Provider Practice Location Address
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Address Line | 14900 INTERURBAN AVE S STE 203
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City | TUKWILA
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State | WA
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Zip | 98168-4654
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Country | US
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Telephone | 206-923-6702
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Fax |
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Provider Business Mailing Address
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Address Line | 1225 S WELLER ST STE 510
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City | SEATTLE
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State | WA
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Zip | 98144-1906
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Country | US
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Telephone | 206-461-8430
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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 | MARK OKAZAKI
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Credential |
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Telephone | 206-461-8430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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