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General NPI Number Information
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NPI Number | 1417569716
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Entity Type | Organization
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Legal Business Name | COMMUNITY TRANSITIONS LLC
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Dates
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Enumeration Date | 08/18/2020
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Last Update Date | 01/21/2021
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Provider Practice Location Address
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Address Line | 12510 E SPRAGUE AVE STE 5
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City | SPOKANE VALLEY
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State | WA
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Zip | 99216-0755
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Country | US
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Telephone | 509-867-3930
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Fax | 509-867-3931
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Provider Business Mailing Address
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Address Line | 12510 E SPRAGUE AVE STE 5
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City | SPOKANE VALLEY
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State | WA
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Zip | 99216-0755
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Country | US
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Telephone | 509-867-3930
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Fax | 509-867-3931
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Authorized Official
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Title or Position | OWNER
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Name | MRS. HELDA K FUCHS
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Credential | CTRS
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Telephone | 509-230-4095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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