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General NPI Number Information
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NPI Number | 1740701119
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Entity Type | Organization
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Legal Business Name | BROOKWOOD HOUSE INC
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Dates
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Enumeration Date | 07/06/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 610 129TH PL NE
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City | BELLEVUE
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State | WA
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Zip | 98005-3326
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Country | US
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Telephone | 425-453-7006
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Fax | 425-453-9391
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Provider Business Mailing Address
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Address Line | 610 129TH PL NE
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City | BELLEVUE
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State | WA
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Zip | 98005-3326
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Country | US
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Telephone | 425-453-7006
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Fax | 425-453-9391
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Authorized Official
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Title or Position | PRESIDENT
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Name | REMUS CURTAMET
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Credential |
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Telephone | 425-453-7006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number | 750307
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License Number State | WA
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