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NPI 1457602278

NPI 1457602278 : FAMILIES FOR EFFECTIVE AUTISM TREATMENT FEAT : BELLEVUE, WA

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General NPI Number Information
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    NPI Number           |    1457602278
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    Entity Type          |    Organization 
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    Legal Business Name  |    FAMILIES FOR EFFECTIVE AUTISM TREATMENT FEAT 
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Dates
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    Enumeration Date     |    09/20/2012
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    Last Update Date     |    09/20/2012
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Provider Practice Location Address
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    Address Line         |    14434 NE 8TH ST FL 2 
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    City                 |    BELLEVUE
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    State                |    WA
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    Zip                  |    98007-4105
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    Country              |    US
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    Telephone            |    425-223-5126
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    Fax                  |    425-502-9310
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Provider Business Mailing Address
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    Address Line         |    14434 NE 8TH ST FL 2 
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    City                 |    BELLEVUE
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    State                |    WA
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    Zip                  |    98007-4105
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    Country              |    US
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    Telephone            |    425-223-5126
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    Fax                  |    425-502-9310
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     LINDA  FOLEY 
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    Credential           |    
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    Telephone            |    425-223-5126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    252Y00000X
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    Taxonomy Name        |    Early Intervention Provider Agency
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    License Number       |    
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    License Number State |    
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