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General NPI Number Information
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NPI Number | 1386395986
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Entity Type | Organization
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Legal Business Name | TOTAL ACCESS CENTER
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Dates
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Enumeration Date | 01/14/2022
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Last Update Date | 09/08/2023
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Provider Practice Location Address
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Address Line | 609 YESLER WAY APT 407
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City | SEATTLE
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State | WA
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Zip | 98104-3724
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Country | US
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Telephone | 206-487-8245
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Fax |
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Provider Business Mailing Address
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Address Line | 725 HERTEL AVE UNIT 383
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City | BUFFALO
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State | NY
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Zip | 14207-7015
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Country | US
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Telephone | 206-407-4250
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MELIA SMITH
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Credential |
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Telephone | 206-407-4250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health 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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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