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General NPI Number Information
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NPI Number | 1396144606
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Entity Type | Organization
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Legal Business Name | NEIGHBORHOOD CABULANCE
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Dates
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Enumeration Date | 08/22/2014
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Last Update Date | 08/22/2014
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Provider Practice Location Address
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Address Line | 4702 DAVIS AVE S FF302
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City | RENTON
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State | WA
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Zip | 98055-6225
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Country | US
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Telephone | 206-474-7160
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 58461
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City | SEATTLE
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State | WA
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Zip | 98138-1461
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Country | US
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Telephone | 206-474-7160
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. TEKESTE TEKLE
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Credential |
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Telephone | 206-474-7160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State | WA
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