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General NPI Number Information
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NPI Number | 1700321759
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Entity Type | Organization
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Legal Business Name | NORTHWEST HEALTHCARE
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Dates
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Enumeration Date | 12/29/2016
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Last Update Date | 12/29/2016
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Provider Practice Location Address
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Address Line | 4317 NE THURSTON WAY SUITE 220
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City | VANCOUVER
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State | WA
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Zip | 98662-6658
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Country | US
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Telephone | 360-574-5293
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Fax | 360-718-2502
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Provider Business Mailing Address
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Address Line | 4317 NE THURSTON WAY SUITE 220
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City | VANCOUVER
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State | WA
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Zip | 98662-6658
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Country | US
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Telephone | 360-574-5293
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Fax | 360-718-2502
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MR. ROBERT PATTON
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Credential |
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Telephone | 360-574-5293
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | IHS.FS.00000385
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License Number State | WA
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