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General NPI Number Information
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NPI Number | 1265982599
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Entity Type | Organization
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Legal Business Name | CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTON
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Dates
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Enumeration Date | 10/11/2016
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Last Update Date | 06/15/2023
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Provider Practice Location Address
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Address Line | 5410 N 44TH ST
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City | TACOMA
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State | WA
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Zip | 98407-3715
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Country | US
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Telephone | 253-761-3898
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 N J ST
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City | TACOMA
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State | WA
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Zip | 98403-2125
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Country | US
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Telephone | 532-761-3829
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Fax |
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | MOLLY A QUINLAN
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Credential |
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Telephone | 62-940-9640
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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 | 76-122
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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