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General NPI Number Information
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NPI Number | 1538726252
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Entity Type | Organization
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Legal Business Name | ALTA VISTA INTEGRATED LIFE SERVICES
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Dates
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Enumeration Date | 05/29/2019
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 7282 STINSON AVE STE B
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City | GIG HARBOR
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State | WA
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Zip | 98335-4930
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Country | US
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Telephone | 855-201-8141
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Fax | 855-610-2353
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Provider Business Mailing Address
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Address Line | PO BOX 10
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City | BURLEY
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State | WA
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Zip | 98322-0010
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Country | US
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Telephone | 855-201-8141
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Fax | 855-610-2353
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Authorized Official
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Title or Position | EXECUTIVE ADMINISTRATIVE ASSISTANT
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Name | GINA CABRINHA
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Credential |
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Telephone | 253-525-9833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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