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General NPI Number Information
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NPI Number | 1487700100
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Entity Type | Organization
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Legal Business Name | THE SNOQUALMIE TRIBE CHEMICAL DEPENDENCY PROGRAM
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 4480 TOLT AVE
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City | CARNATION
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State | WA
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Zip | 98014
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Country | US
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Telephone | 425-333-5426
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Fax | 425-888-5513
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Provider Business Mailing Address
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Address Line | PO BOX 969
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City | SNOQUALMIE
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State | WA
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Zip | 98065-0969
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Country | US
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Telephone | 425-333-5426
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Fax | 425-333-5513
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Authorized Official
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Title or Position | SOCIAL SERVICE ADMINISTRATOR
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Name | MS. MARIE RAMIREZ
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Credential |
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Telephone | 425-333-5426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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