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General NPI Number Information
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NPI Number | 1528196052
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Entity Type | Organization
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Legal Business Name | CHRISTIAN FAMILY CARE INC
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 33507 9TH AVE S BUILDING A
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City | FEDERAL WAY
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State | WA
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Zip | 98003-6397
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Country | US
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Telephone | 253-874-5404
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Fax | 253-874-8964
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Provider Business Mailing Address
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Address Line | 8511 SOUTH TACOMA WAY #200
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City | TACOMA
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State | WA
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Zip | 98499
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Country | US
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Telephone | 253-588-4015
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Fax | 253-588-4035
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Authorized Official
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Title or Position | PRESIDENT
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Name | YOUNG H LEE
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Credential | MD
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Telephone | 253-874-5404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD00044106
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD00029607
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP30006909
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP30006915
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP30006808
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License Number State | WA
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP60126966
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License Number State | WA
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Taxonomy #7
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | MD00029607
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License Number State | WA
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