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General NPI Number Information
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NPI Number | 1427340280
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Entity Type | Organization
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Legal Business Name | ABATE ABUSE COUNSELING
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Dates
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Enumeration Date | 05/11/2011
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Last Update Date | 05/11/2011
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Provider Practice Location Address
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Address Line | 502 16TH ST NE SUITE 308
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City | AUBURN
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State | WA
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Zip | 98002-1622
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Country | US
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Telephone | 125-393-9224
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Fax | 125-385-9498
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Provider Business Mailing Address
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Address Line | 502 16TH ST NE SUITE 308
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City | AUBURN
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State | WA
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Zip | 98002-1622
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Country | US
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Telephone | 125-393-9224
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Fax | 125-385-9498
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Authorized Official
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Title or Position | OFFICE MANGER
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Name | MRS. BRITTNY MATTHEWS
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Credential |
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Telephone | 125-393-9243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 603106060
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License Number State | WA
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