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NPI 1578403432

NPI 1578403432 : CITIZENS AGAINST DOMESTIC AND SEXUAL ASSAULT : COUPEVILLE, WA

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General NPI Number Information
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    NPI Number           |    1578403432
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    Entity Type          |    Organization 
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    Legal Business Name  |    CITIZENS AGAINST DOMESTIC AND SEXUAL ASSAULT 
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Dates
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    Enumeration Date     |    03/31/2026
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    Last Update Date     |    03/31/2026
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Provider Practice Location Address
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    Address Line         |    11 NORTHWEST COVELAND STREET 
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    City                 |    COUPEVILLE
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    State                |    WA
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    Zip                  |    98239
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    Country              |    US
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    Telephone            |    360-682-7997
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 190 
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    City                 |    OAK HARBOR
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    State                |    WA
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    Zip                  |    98277-0190
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    Country              |    US
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    Telephone            |    360-675-7057
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    Fax                  |    
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Authorized Official
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    Title or Position    |    ADVOCATE
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    Name                 |     MEGAN  JACOBS 
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    Credential           |    
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    Telephone            |    360-682-7997
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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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