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General NPI Number Information
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NPI Number | 1851477533
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Entity Type | Organization
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Legal Business Name | RAINIER BIOBEHAVIORAL INSTITUTE, LLC
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 02/24/2014
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Provider Practice Location Address
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Address Line | 8910 MAIN ST E SUITE C
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City | BONNEY LAKE
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State | WA
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Zip | 98391-8988
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Country | US
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Telephone | 253-299-6556
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Fax | 253-299-6048
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Provider Business Mailing Address
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Address Line | 8910 MAIN ST E SUITE C
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City | BONNEY LAKE
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State | WA
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Zip | 98391-8988
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Country | US
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Telephone | 253-299-6556
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Fax | 253-299-6048
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Authorized Official
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Title or Position | DIRECTOR
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Name | SCOTT PARIS
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Credential | ARNP
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Telephone | 253-299-6556
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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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