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NPI 1386608560

NPI 1386608560 : NEW HEALTH PROGRAMS ASSOCIATION : ORIENT, WA

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General NPI Number Information
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    NPI Number           |    1386608560
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEW HEALTH PROGRAMS ASSOCIATION 
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Dates
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    Enumeration Date     |    04/14/2006
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    Last Update Date     |    02/16/2018
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Provider Practice Location Address
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    Address Line         |    141 THIRD AVE 
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    City                 |    ORIENT
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    State                |    WA
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    Zip                  |    99160-9418
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    Country              |    US
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    Telephone            |    509-684-5521
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    Fax                  |    509-684-1464
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Provider Business Mailing Address
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    Address Line         |    141 3RD AVE PO BOX 1384
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    City                 |    ORIENT
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    State                |    WA
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    Zip                  |    99160-9418
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    Country              |    US
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    Telephone            |    509-684-5521
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    Fax                  |    509-684-1464
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Authorized Official
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    Title or Position    |    CREDENTIALING COORDINATOR
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    Name                 |     JILL KAY DAMIANO 
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    Credential           |    
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    Telephone            |    509-935-6001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QF0400X
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    Taxonomy Name        |    Federally Qualified Health Center (FQHC)
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    License Number       |    J600317870
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    License Number State |    WA
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