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General NPI Number Information
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NPI Number | 1801405642
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Entity Type | Organization
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Legal Business Name | UNITED EARLY LEARNING & FAMILY CENTER LLC
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Dates
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Enumeration Date | 07/28/2020
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Last Update Date | 11/25/2020
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Provider Practice Location Address
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Address Line | 106 N ELM ST
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City | GRANDVIEW
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State | WA
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Zip | 98930-1009
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Country | US
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Telephone | 509-402-9090
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Fax |
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Provider Business Mailing Address
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Address Line | 1431 GRANDVIEW PAVEMENT RD
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City | GRANDVIEW
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State | WA
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Zip | 98930-9234
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Country | US
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Telephone | 509-305-1542
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MR. HUMBERTO C RODRIGUEZ
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Credential |
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Telephone | 509-305-1542
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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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 | 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 #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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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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