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General NPI Number Information
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NPI Number | 1184393332
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Entity Type | Organization
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Legal Business Name | FAITH ALLIANCE LLC
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Dates
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Enumeration Date | 09/10/2021
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Last Update Date | 09/10/2021
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Provider Practice Location Address
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Address Line | 2211 RIMLAND DR STE 405
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City | BELLINGHAM
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State | WA
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Zip | 98226-5699
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Country | US
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Telephone | 360-922-0975
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Fax | 360-325-7035
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Provider Business Mailing Address
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Address Line | 2211 RIMLAND DR STE 405
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City | BELLINGHAM
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State | WA
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Zip | 98226-5699
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Country | US
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Telephone | 360-922-0975
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Fax | 360-325-7035
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Authorized Official
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Title or Position | BRANCH MANAGER
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Name | NATHAN JACKSON
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Credential |
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Telephone | 360-922-0975
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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