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General NPI Number Information
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NPI Number | 1346389053
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Entity Type | Organization
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Legal Business Name | ENCOMPASS NORTHWEST
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 03/06/2023
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Provider Practice Location Address
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Address Line | 9050 384TH AVE SE
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City | SNOQUALMIE
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State | WA
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Zip | 98065-9637
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Country | US
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Telephone | 425-888-3347
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Fax | 425-888-3348
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Provider Business Mailing Address
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Address Line | 9050 384TH AVE SE
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City | SNOQUALMIE
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State | WA
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Zip | 98065-9637
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Country | US
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Telephone | 425-888-3347
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Fax | 425-888-2010
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MARIA NELLIE CUMMING
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Credential |
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Telephone | 425-888-3347
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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