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General NPI Number Information
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NPI Number | 1578686630
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF WASHINGTON PARENT-CHILD ASSISTANCE PROGRAM
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 180 NICKERSON ST SUITE 309
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City | SEATTLE
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State | WA
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Zip | 98109-1631
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Country | US
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Telephone | 206-543-7155
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Fax | 206-685-2903
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Provider Business Mailing Address
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Address Line | 180 NICKERSON ST SUITE 309
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City | SEATTLE
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State | WA
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Zip | 98109-1631
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Country | US
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Telephone | 206-543-7155
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Fax | 206-685-2903
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Authorized Official
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Title or Position | WASHINGTON STATE PCAP DIRECTOR
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Name | THERESE M. GRANT
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Credential | PH.D.
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Telephone | 206-543-7155
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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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