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General NPI Number Information
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NPI Number | 1215849419
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Entity Type | Organization
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Legal Business Name | SPARKLE INITIATIVE
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 3311 W CLEARWATER AVE STE B100
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City | KENNEWICK
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State | WA
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Zip | 99336-2791
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Country | US
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Telephone | 509-870-7437
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Fax |
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Provider Business Mailing Address
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Address Line | 522 N JEAN ST
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City | KENNEWICK
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State | WA
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Zip | 99336-3403
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Country | US
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Telephone | 509-870-7437
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | STEVEN COX
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Credential |
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Telephone | 509-870-7437
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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 |
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