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General NPI Number Information
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NPI Number | 1790674133
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Entity Type | Organization
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Legal Business Name | OKANOGAN COUNTY JUVENILE DEPARTMENT
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 227 N 4TH AVE
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City | OKANOGAN
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State | WA
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Zip | 98840
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Country | US
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Telephone | 509-422-7260
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Fax | 506-422-7294
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Provider Business Mailing Address
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Address Line | PO BOX 432
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City | OKANOGAN
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State | WA
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Zip | 98840-0432
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Country | US
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Telephone | 509-422-7267
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Fax | 509-422-7268
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Authorized Official
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Title or Position | JUVENILE COURT ADMINISTRATOR
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Name | MICHAEL C BEAVER
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Credential |
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Telephone | 509-422-7267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number |
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License Number State |
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