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General NPI Number Information
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NPI Number | 1295649705
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Entity Type | Organization
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Legal Business Name | DIGNITY FIRST PROJECT LLC
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 312 S 12TH AVE
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City | YAKIMA
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State | WA
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Zip | 98902-3113
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Country | US
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Telephone | 509-262-6232
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Fax |
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Provider Business Mailing Address
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Address Line | 201 JIM CLEMENTS WAY APT 9
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City | SELAH
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State | WA
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Zip | 98942-4349
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Country | US
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Telephone | 509-262-6232
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Fax |
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Authorized Official
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Title or Position | OWNER/PROGRAM DIRECTOR
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Name | DOMINIQUE VENTRIS
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Credential |
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Telephone | 509-406-3524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | NULL
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