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General NPI Number Information
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NPI Number | 1932726023
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Entity Type | Organization
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Legal Business Name | ESTABLISHING ORDER CHRISTIAN MINISTRIES
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Dates
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Enumeration Date | 07/06/2020
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Last Update Date | 08/16/2020
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Provider Practice Location Address
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Address Line | 7704 189TH STREET CT E
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City | PUYALLUP
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State | WA
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Zip | 98375-2435
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Country | US
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Telephone | 253-283-1786
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Fax |
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Provider Business Mailing Address
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Address Line | 7704 189TH STREET CT E
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City | PUYALLUP
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State | WA
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Zip | 98375-2435
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Country | US
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Telephone | 253-283-1786
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Fax |
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Authorized Official
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Title or Position | THERAPIST PASTOR
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Name | MS. VHALARRIE Y SANDLING
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Credential | SUDPT
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Telephone | 253-283-1786
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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 |
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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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Taxonomy #3
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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 #4
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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