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General NPI Number Information
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NPI Number | 1578051835
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Entity Type | Organization
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Legal Business Name | RELIABLE ENTERPRISES
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Dates
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Enumeration Date | 04/23/2018
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Last Update Date | 04/23/2018
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Provider Practice Location Address
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Address Line | 203 W REYNOLDS AVE
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City | CENTRALIA
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State | WA
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Zip | 98531-3313
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Country | US
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Telephone | 360-736-9558
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Fax | 360-736-1436
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Provider Business Mailing Address
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Address Line | PO BOX 870
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City | CENTRALIA
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State | WA
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Zip | 98531-0870
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Country | US
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Telephone | 360-669-5240
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Fax |
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Authorized Official
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Title or Position | HOUSING SUPPORT SPECIALIST
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Name | JENNIFER NICOLE HUMBERT
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Credential |
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Telephone | 360-669-5240
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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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