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General NPI Number Information
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NPI Number | 1396079885
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Entity Type | Organization
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Legal Business Name | PIERCE COUNTY AIDS FOUNDATION
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Dates
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Enumeration Date | 09/30/2009
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Last Update Date | 09/30/2009
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Provider Practice Location Address
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Address Line | 625 COMMERCE ST STE 10
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City | TACOMA
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State | WA
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Zip | 98402-4601
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Country | US
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Telephone | 253-383-2565
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Fax | 253-597-6682
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Provider Business Mailing Address
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Address Line | 625 COMMERCE ST STE 10
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City | TACOMA
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State | WA
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Zip | 98402-4601
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Country | US
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Telephone | 253-383-2565
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Fax | 253-597-6682
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Authorized Official
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Title or Position | FINANCE DIRECTOR
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Name | STEVEN G PIERCE
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Credential | MBA
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Telephone | 253-722-0704
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | WA
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