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General NPI Number Information
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NPI Number | 1245781665
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Entity Type | Organization
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Legal Business Name | PROJECT ACCESS NORTHWEST
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Dates
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Enumeration Date | 10/20/2016
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Last Update Date | 10/20/2016
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Provider Practice Location Address
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Address Line | 1111 HARVARD AVE
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City | SEATTLE
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State | WA
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Zip | 98122-4205
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Country | US
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Telephone | 206-788-4024
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Fax | 206-382-3507
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Provider Business Mailing Address
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Address Line | 1111 HARVARD AVE
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City | SEATTLE
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State | WA
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Zip | 98122-4205
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Country | US
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Telephone | 206-788-4024
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Fax | 206-382-3507
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. SALLIE NEILLIE
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Credential |
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Telephone | 206-496-1590
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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 | 602586838
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License Number State | WA
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