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General NPI Number Information
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NPI Number | 1376659151
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Entity Type | Organization
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Legal Business Name | INTERNATIONAL COMMUNITY HEALTH SERVICES
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 03/29/2021
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Provider Practice Location Address
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Address Line | 720 8TH AVE S
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City | SEATTLE
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State | WA
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Zip | 98104-3032
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Country | US
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Telephone | 206-788-3700
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Fax | 206-788-3706
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Provider Business Mailing Address
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Address Line | PO BOX 3007
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City | SEATTLE
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State | WA
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Zip | 98114-3007
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Country | US
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Telephone | 206-788-3600
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Fax | 206-652-5216
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Authorized Official
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Title or Position | CFO
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Name | MS. HERMES SHAHBAZIAN
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Credential |
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Telephone | 206-788-3618
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #13
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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