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General NPI Number Information
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NPI Number | 1285963538
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Entity Type | Organization
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Legal Business Name | TELECARE MENTAL HEALTH SERVICES OF WASHINGTON, INC.
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Dates
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Enumeration Date | 12/16/2009
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Last Update Date | 12/16/2009
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Provider Practice Location Address
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Address Line | 1080 MARINA VILLAGE PKWY SUITE 100
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City | ALAMEDA
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State | CA
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Zip | 94501-6427
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Country | US
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Telephone | 510-337-7950
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Fax | 510-337-7969
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Provider Business Mailing Address
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Address Line | 1080 MARINA VILLAGE PKWY SUITE 100
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City | ALAMEDA
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State | CA
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Zip | 94501-6427
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Country | US
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Telephone | 510-337-7950
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Fax | 510-337-7969
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Authorized Official
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Title or Position | CFO, VP
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Name | MARSHALL LANGFELD
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Credential |
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Telephone | 510-337-7950
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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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