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General NPI Number Information
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NPI Number | 1467450569
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Entity Type | Organization
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Legal Business Name | COMMUNITY IN MOTION
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 09/28/2022
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Provider Practice Location Address
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Address Line | 312 SE STONEMILL DR STE 115
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City | VANCOUVER
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State | WA
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Zip | 98684-3547
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Country | US
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Telephone | 360-694-6577
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Fax | 360-694-1446
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Provider Business Mailing Address
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Address Line | 312 SE STONEMILL DR STE 115
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City | VANCOUVER
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State | WA
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Zip | 98684-3547
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Country | US
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Telephone | 360-694-6577
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Fax | 360-694-1446
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Authorized Official
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Title or Position | HR / ADMINISTRATIVE COORDINATOR
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Name | ANGEL KETTWIG
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Credential |
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Telephone | 360-735-5715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number | 600647162
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License Number State | WA
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