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General NPI Number Information
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NPI Number | 1679020150
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Entity Type | Organization
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Legal Business Name | VEST SEATTLE, LLC
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 06/10/2021
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Provider Practice Location Address
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Address Line | 3955 156TH STREET NE
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City | MARYSVILLE
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State | WA
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Zip | 98271-4831
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Country | US
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Telephone | 360-651-6400
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Fax | 360-651-5981
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Provider Business Mailing Address
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Address Line | 3955 156TH STREET NE
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City | MARYSVILLE
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State | WA
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Zip | 98271-4831
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Country | US
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Telephone | 360-651-6400
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Fax | 360-651-5981
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Authorized Official
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Title or Position | MANAGER
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Name | DR. RICHARD KRESCH
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Credential | MD
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Telephone | 212-243-5565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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