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General NPI Number Information
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NPI Number | 1295965903
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Entity Type | Organization
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Legal Business Name | CROSSROADS HEALTHCARE INC
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Dates
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Enumeration Date | 07/16/2009
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Last Update Date | 07/16/2009
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Provider Practice Location Address
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Address Line | 1111 MAIN ST SUITE 555
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City | VANCOUVER
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State | WA
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Zip | 98660-2990
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Country | US
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Telephone | 360-433-9375
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Fax | 360-828-5316
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Provider Business Mailing Address
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Address Line | 1111 MAIN ST SUITE 555
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City | VANCOUVER
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State | WA
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Zip | 98660-2990
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Country | US
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Telephone | 360-433-9375
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Fax | 360-828-5316
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Authorized Official
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Title or Position | PRESIDENT, OWNER
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Name | MR. ARTHUR PRICE
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Credential |
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Telephone | 360-921-5817
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | 602915599000
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 602915599000
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 602915599000
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License Number State | WA
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