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General NPI Number Information
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NPI Number | 1255159208
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Entity Type | Organization
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Legal Business Name | CONNECTIONSWA-PIERCE LLC
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 1420 112TH ST E
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City | TACOMA
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State | WA
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Zip | 98445
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Country | US
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Telephone | 425-650-4005
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Fax |
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Provider Business Mailing Address
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Address Line | 2390 E CAMELBACK RD STE 400
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City | PHOENIX
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State | AZ
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Zip | 85016-3479
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Country | US
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Telephone | 602-416-7600
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CHERYL BOYLE
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Credential |
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Telephone | 737-600-6039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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