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General NPI Number Information
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NPI Number | 1316831944
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Entity Type | Organization
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Legal Business Name | HARBOR HEIGHTS
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 191 CONSTANTINE WAY
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City | ABERDEEN
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State | WA
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Zip | 98520-9504
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Country | US
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Telephone | 360-537-2510
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Fax |
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Provider Business Mailing Address
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Address Line | 191 CONSTANTINE WAY
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City | ABERDEEN
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State | WA
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Zip | 98520-9504
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Country | US
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Telephone | 360-537-2510
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Fax |
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Authorized Official
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Title or Position | HEALTH SERVICES ADMINISTRATOR
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Name | DR. SETH A BAFFOE
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Credential |
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Telephone | 360-628-3192
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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 |
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