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General NPI Number Information
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NPI Number | 1427636802
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Entity Type | Organization
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Legal Business Name | OLYMPIC OCD SERVICES PLLC
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Dates
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Enumeration Date | 03/29/2021
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Last Update Date | 11/01/2022
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Provider Practice Location Address
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Address Line | 777 108TH AVE NE STE 2000
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City | BELLEVUE
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State | WA
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Zip | 98004-5146
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Country | US
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Telephone | 360-565-6216
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Fax |
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Provider Business Mailing Address
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Address Line | 424 E 1ST ST UNIT 354
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City | PORT ANGELES
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State | WA
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Zip | 98362-3154
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | THERESA CHIU
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Credential |
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Telephone | 360-565-6216
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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 |
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License Number State |
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