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General NPI Number Information
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NPI Number | 1952298002
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Entity Type | Organization
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Legal Business Name | HOPE HEALS NW SERVICES LLC
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 7816 72ND DR NE
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City | MARYSVILLE
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State | WA
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Zip | 98270-7864
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Country | US
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Telephone | 425-377-3316
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 431
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City | LAKE STEVENS
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State | WA
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Zip | 98258-0431
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Country | US
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Telephone | 425-377-3316
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Fax |
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Authorized Official
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Title or Position | FOUNDER & CEO
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Name | KIERA DRAGICH
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Credential |
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Telephone | 425-377-3316
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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