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General NPI Number Information
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NPI Number | 1730030123
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Entity Type | Organization
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Legal Business Name | THE YOUNG CHAMPIONS FOUNDATION
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 11811 E 1ST AVE
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City | SPOKANE VALLEY
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State | WA
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Zip | 99206-6221
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Country | US
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Telephone | 509-919-8879
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Fax |
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Provider Business Mailing Address
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Address Line | 3020 S CLINTON RD APT 31
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City | SPOKANE VALLEY
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State | WA
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Zip | 99216-0186
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Country | US
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Telephone | 509-919-8879
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEX VANORDEN
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Credential | SUDP
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Telephone | 509-919-8879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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