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General NPI Number Information
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NPI Number | 1932983939
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Entity Type | Organization
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Legal Business Name | NOVA FAMILY RESOURCE AND CHILDCARE CENTER, LLC
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Dates
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Enumeration Date | 08/21/2023
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 21010 76TH AVE W
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City | EDMONDS
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State | WA
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Zip | 98026-7104
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Country | US
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Telephone | 425-214-2493
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Fax |
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Provider Business Mailing Address
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Address Line | 21010 76TH AVE W
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City | EDMONDS
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State | WA
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Zip | 98026-7104
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Country | US
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Telephone | 425-214-2493
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CAROLE HARPER
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Credential | BA, PMP, CASA
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Telephone | 425-214-2493
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 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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