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General NPI Number Information
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NPI Number | 1730650912
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Entity Type | Organization
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Legal Business Name | PIERCE COUNTY ACCOUNTABLE COMMUNITY OF HEALTH
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Dates
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Enumeration Date | 12/16/2018
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 4717 S. 19TH STREET SUITE 200
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City | TACOMA
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State | WA
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Zip | 98405
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Country | US
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Telephone | 253-302-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 4717 S. 19TH STREET SUITE 200
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City | TACOMA
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State | WA
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Zip | 98405
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Country | US
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Telephone | 253-302-5500
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | GENA MORGAN
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Credential |
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Telephone | 253-302-5508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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