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General NPI Number Information
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NPI Number | 1699872382
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Entity Type | Organization
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Legal Business Name | CRISTA MINISTRIES
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Dates
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Enumeration Date | 09/17/2006
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Last Update Date | 07/26/2019
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Provider Practice Location Address
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Address Line | 19301 KINGS GARDEN DR N
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City | SHORELINE
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State | WA
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Zip | 98133-3838
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Country | US
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Telephone | 206-546-7400
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Fax | 206-546-7221
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Provider Business Mailing Address
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Address Line | 19303 FREMONT AVE N MS#85
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City | SEATTLE
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State | WA
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Zip | 98133-3800
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Country | US
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Telephone | 206-289-7830
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Fax | 206-546-7447
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Authorized Official
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Title or Position | VICE PRESIDENT FOR SENIOR LIVING
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Name | GLEN MELIN
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Credential |
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Telephone | 206-289-7856
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 274
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License Number State | WA
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