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General NPI Number Information
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NPI Number | 1659297935
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Entity Type | Organization
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Legal Business Name | SLATE FAMILY SERVICES, LLC
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 508 2ND ST SE
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City | YELM
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State | WA
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Zip | 98597-7638
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Country | US
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Telephone | 360-919-4744
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Fax | 506-901-4991
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Provider Business Mailing Address
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Address Line | 508 2ND ST SE
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City | YELM
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State | WA
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Zip | 98597-7638
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Country | US
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Telephone | 360-919-4744
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Fax | 506-901-4991
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Authorized Official
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Title or Position | OWNER & CHIEF EXECUTIVE OFFICER (CE
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Name | MARIE LEANN FIERRO
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Credential | BSHS
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Telephone | 360-464-8656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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