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General NPI Number Information
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NPI Number | 1558158824
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Entity Type | Organization
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Legal Business Name | AJUSO LLC
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 18420 46TH AVE NW
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City | STANWOOD
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State | WA
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Zip | 98292-7964
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Country | US
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Telephone | 206-413-1332
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 102
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City | SILVANA
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State | WA
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Zip | 98287-0102
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Country | US
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Telephone | 206-413-1332
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FELIX WERE
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Credential | CPC
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Telephone | 206-413-1332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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