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General NPI Number Information
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NPI Number | 1831829605
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Entity Type | Organization
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Legal Business Name | GREAT NORTHERN CONSULTING
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Dates
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Enumeration Date | 06/14/2022
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Last Update Date | 06/14/2022
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Provider Practice Location Address
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Address Line | 1801 D ST STE 4
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City | VANCOUVER
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State | WA
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Zip | 98663-3376
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Country | US
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Telephone | 253-449-8033
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 D ST STE 4
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City | VANCOUVER
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State | WA
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Zip | 98663-3376
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Country | US
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Telephone | 100-000-0000
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Fax |
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Authorized Official
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Title or Position | FINANCE MANAGER
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Name | ELENA CHUMAK
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Credential |
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Telephone | 253-292-6391
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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