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General NPI Number Information
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NPI Number | 1871851352
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Entity Type | Organization
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Legal Business Name | COLEMAN FAMILY SERVICE
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Dates
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Enumeration Date | 05/02/2012
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Last Update Date | 05/02/2012
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Provider Practice Location Address
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Address Line | 15 S GRADY WAY STE 516
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City | RENTON
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State | WA
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Zip | 98057-3217
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Country | US
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Telephone | 206-478-8446
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Fax |
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Provider Business Mailing Address
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Address Line | 1032 S JACKSON ST # 104
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City | SEATTLE
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State | WA
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Zip | 98104-3039
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Country | US
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Telephone | 206-446-4792
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Fax |
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Authorized Official
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Title or Position | CASE MANAGER
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Name | MISS DEBBIE H PHAM
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Credential |
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Telephone | 206-446-4792
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | NONE
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License Number State | WA
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