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General NPI Number Information
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NPI Number | 1457624934
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Entity Type | Organization
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Legal Business Name | COLEMAN'S FAMILY SERVICES
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Dates
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Enumeration Date | 02/15/2012
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Last Update Date | 02/15/2012
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Provider Practice Location Address
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Address Line | 15 S GRADY WAY SUITE 533
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City | RENTON
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State | WA
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Zip | 98057-3220
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Country | US
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Telephone | 206-722-4936
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Fax | 206-723-8947
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Provider Business Mailing Address
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Address Line | 15 S GRADY WAY SUITE 533
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City | RENTON
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State | WA
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Zip | 98057-3220
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Country | US
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Telephone | 206-722-4936
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Fax | 206-723-8947
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Authorized Official
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Title or Position | OWNER/SUPERVISOR
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Name | MRS. ALICE MAE COLEMAN
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Credential | M.A.
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Telephone | 206-722-4936
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 603102312
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License Number State | WA
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