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General NPI Number Information
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NPI Number | 1962292383
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Entity Type | Organization
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Legal Business Name | THRIVE2SURVIVE
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | DEWEY HOUSE 2409 CARLSON ROAD
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City | VANCOUVER
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State | WA
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Zip | 98661
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Country | US
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Telephone | 360-831-3118
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 BROADWAY ST STE 130
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City | VANCOUVER
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State | WA
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Zip | 98660-3319
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF HOUSING
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Name | CHARLES HANSET SR.
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Credential | CRM II
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Telephone | 503-901-7471
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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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Taxonomy #2
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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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