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General NPI Number Information
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NPI Number | 1801882014
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Entity Type | Organization
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Legal Business Name | CARE CENTER TOPPENISH INC.
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Dates
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Enumeration Date | 09/22/2005
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Last Update Date | 12/02/2010
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Provider Practice Location Address
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Address Line | 802 W 3RD AVE
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City | TOPPENISH
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State | WA
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Zip | 98948-1668
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Country | US
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Telephone | 509-865-3955
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Fax | 509-865-3799
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Provider Business Mailing Address
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Address Line | 7700 NE PARKWAY DR SUITE 300
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City | VANCOUVER
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State | WA
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Zip | 98662-6648
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Country | US
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Telephone | 360-735-7155
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Fax | 360-735-9416
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Authorized Official
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Title or Position | EXEC VP OF FINANCE
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Name | GREGORY J VISLOCKY
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Credential |
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Telephone | 360-735-7155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 1354
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License Number State | WA
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