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General NPI Number Information
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NPI Number | 1568294023
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Entity Type | Organization
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Legal Business Name | FURTADO SERVICES
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Dates
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Enumeration Date | 08/14/2024
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 15704 SE 3RD ST
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City | VANCOUVER
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State | WA
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Zip | 98684-8808
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Country | US
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Telephone | 971-266-1581
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 871602
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City | VANCOUVER
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State | WA
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Zip | 98687-1602
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Country | US
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Telephone | 971-266-1581
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | JOSHUA A FURTADO
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Credential | LPC, LMHC, CADC III
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Telephone | 971-266-1581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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