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General NPI Number Information
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NPI Number | 1558985481
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Entity Type | Organization
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Legal Business Name | FITE LLC
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Dates
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Enumeration Date | 06/06/2020
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 5523 29TH AVE NE
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City | SEATTLE
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State | WA
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Zip | 98105-5519
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Country | US
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Telephone | 808-600-7389
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Fax |
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Provider Business Mailing Address
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Address Line | 5523 29TH AVE NE
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City | SEATTLE
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State | WA
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Zip | 98105-5519
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Country | US
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Telephone | 808-600-7389
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL
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Name | MARY ROWAN
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Credential |
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Telephone | 808-600-7389
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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