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General NPI Number Information
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NPI Number | 1548059454
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Entity Type | Organization
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Legal Business Name | SUMMIT BHC SEATTLE LLC
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 102 W RHOADES AVE
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City | SPOKANE
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State | WA
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Zip | 99208-4169
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Country | US
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Telephone | 425-537-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 501 CORPORATE CENTRE DR STE 600
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City | FRANKLIN
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State | TN
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Zip | 37067-2784
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Country | US
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Telephone | 615-545-5519
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Fax |
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Authorized Official
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Title or Position | CHIEF LEGAL OFFICER
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Name | PAUL GILBERT
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Credential |
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Telephone | 615-545-5519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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