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General NPI Number Information
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NPI Number | 1912271289
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Entity Type | Organization
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Legal Business Name | RETIREMENT CENTERS NORTHWEST INC
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Dates
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Enumeration Date | 03/02/2012
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Last Update Date | 03/02/2012
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Provider Practice Location Address
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Address Line | 7808 NE 51ST ST
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City | VANCOUVER
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State | WA
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Zip | 98662-6207
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Country | US
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Telephone | 360-896-9140
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Fax | 360-256-2768
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Provider Business Mailing Address
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Address Line | 7808 NE 51ST ST
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City | VANCOUVER
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State | WA
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Zip | 98662-6207
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Country | US
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Telephone | 360-896-9140
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Fax | 360-256-2768
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. WILLIAM HESS
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Credential |
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Telephone | 360-896-9140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | BH972
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License Number State | WA
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