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General NPI Number Information
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NPI Number | 1801768700
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Entity Type | Organization
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Legal Business Name | SURVIVE TO THRIVE LLC
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Dates
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Enumeration Date | 09/19/2025
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 110 19TH AVE SE UNIT 13
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City | PUYALLUP
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State | WA
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Zip | 98372-4536
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Country | US
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Telephone | 360-349-8209
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Fax |
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Provider Business Mailing Address
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Address Line | 110 19TH AVE SE UNIT 13
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City | PUYALLUP
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State | WA
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Zip | 98372-4536
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Country | US
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Telephone | 360-349-8209
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DEVEN PATRICK WOLFE
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Credential |
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Telephone | 360-349-8209
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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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