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General NPI Number Information
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NPI Number | 1841087145
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Entity Type | Organization
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Legal Business Name | PIONEER HUMAN SERVICES
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 1302 W GARDNER AVE
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City | SPOKANE
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State | WA
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Zip | 99201
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Country | US
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Telephone | 509-503-6010
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Fax |
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Provider Business Mailing Address
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Address Line | 7440 WEST MARGINAL WAY SOUTH
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City | SEATTLE
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State | WA
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Zip | 98108
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Country | US
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Telephone | 206-766-1990
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Fax | 206-768-8910
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Authorized Official
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Title or Position | DIRECTOR OF COMPLIANCE & QUALITY
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Name | NICHOLAS JOSEPH MOREAU
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Credential |
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Telephone | 206-716-3638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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