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General NPI Number Information
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NPI Number | 1205390390
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Entity Type | Organization
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Legal Business Name | PIONEER HUMAN SERVICES
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Dates
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Enumeration Date | 01/23/2019
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Last Update Date | 01/23/2019
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Provider Practice Location Address
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Address Line | 3504 NORTON AVE
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City | EVERETT
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State | WA
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Zip | 98201-4670
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Country | US
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Telephone | 206-730-6893
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Fax | 425-405-3659
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Provider Business Mailing Address
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Address Line | 7440 W MARGINAL WAY S
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City | SEATTLE
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State | WA
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Zip | 98108-4141
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Country | US
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Telephone | 206-766-7006
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Fax | 206-768-8910
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Authorized Official
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Title or Position | CONTRACTS ADMINISTRATOR
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Name | VICKI RUSH
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Credential |
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Telephone | 206-766-7006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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