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General NPI Number Information
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NPI Number | 1902562333
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Entity Type | Organization
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Legal Business Name | AMFM HEALTHCARE WASHINGTON
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Dates
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Enumeration Date | 11/10/2021
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 6990 E GREEN LAKE WAY N SUITE G
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City | SEATTLE
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State | WA
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Zip | 98115
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Country | US
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Telephone | 833-589-5150
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Fax |
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Provider Business Mailing Address
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Address Line | 30310 RANCHO VIEJO RD
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-1576
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF BILLING
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Name | JEFFREY FARBMAN
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Credential |
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Telephone | 949-301-2863
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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