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NPI 1831011386

NPI 1831011386 : ANCHORSTONE COMMUNITY COLLABORATIVE : EVERETT, WA

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General NPI Number Information
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    NPI Number           |    1831011386
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANCHORSTONE COMMUNITY COLLABORATIVE 
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Dates
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    Enumeration Date     |    07/27/2026
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    Last Update Date     |    07/27/2026
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Provider Practice Location Address
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    Address Line         |    1001 E MARINE VIEW DR 
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    City                 |    EVERETT
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    State                |    WA
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    Zip                  |    98201-2171
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    Country              |    US
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    Telephone            |    425-232-3817
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3007 RUCKER AVE # EVERETT PMB 174
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    City                 |    EVERETT
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    State                |    WA
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    Zip                  |    98201-3931
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    Country              |    US
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    Telephone            |    425-232-3817
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    Fax                  |    425-232-3817
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     MICHELLE  DORAN 
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    Credential           |    DORAN
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    Telephone            |    425-232-3817
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    171M00000X
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    Taxonomy Name        |    Case Manager/Care Coordinator
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    License Number       |    
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    License Number State |    
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