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General NPI Number Information
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NPI Number | 1942927728
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Entity Type | Organization
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Legal Business Name | CONNECTIONS, A CENTER FOR HEALTHY FAMILIES
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Dates
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Enumeration Date | 10/24/2022
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Last Update Date | 12/15/2022
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Provider Practice Location Address
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Address Line | 514 E BROADWAY AVE
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City | MONTESANO
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State | WA
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Zip | 98563-3815
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Country | US
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Telephone | 360-240-0005
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Fax | 360-249-0030
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Provider Business Mailing Address
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Address Line | 514 E BROADWAY AVE
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City | MONTESANO
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State | WA
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Zip | 98563-3815
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Country | US
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Telephone | 360-240-0005
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Fax | 360-249-0030
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. JANET SUE BUCY
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Credential |
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Telephone | 360-580-4697
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care 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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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