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General NPI Number Information
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NPI Number | 1386291052
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Entity Type | Organization
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Legal Business Name | TROUVES ST. ANN INC.
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Dates
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Enumeration Date | 08/19/2019
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Last Update Date | 08/19/2019
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Provider Practice Location Address
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Address Line | 6602 S ALASKA ST
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City | TACOMA
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State | WA
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Zip | 98408-1323
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Country | US
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Telephone | 253-289-5050
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Fax | 253-301-3255
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Provider Business Mailing Address
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Address Line | 6602 S ALASKA ST
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City | TACOMA
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State | WA
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Zip | 98408-1323
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Country | US
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Telephone | 253-289-5050
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Fax | 253-301-3255
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. GWEDOLYN JEAN MCMURTREY
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Credential |
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Telephone | 253-289-5050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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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 | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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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 | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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