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General NPI Number Information
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NPI Number | 1720793490
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Entity Type | Organization
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Legal Business Name | ALWAYS BY YOUR SIDE LLC
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Dates
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Enumeration Date | 01/17/2023
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Last Update Date | 01/17/2023
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Provider Practice Location Address
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Address Line | 6021C CALIFORNIA AVE SW
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City | SEATTLE
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State | WA
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Zip | 98136-1612
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Country | US
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Telephone | 206-591-0555
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Fax |
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Provider Business Mailing Address
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Address Line | 3241 35TH AVE SW
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City | SEATTLE
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State | WA
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Zip | 98126-2201
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Country | US
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Telephone | 206-591-0553
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ANEKE ROACH
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Credential | LM
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Telephone | 206-591-0553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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