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General NPI Number Information
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NPI Number | 1962915389
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Entity Type | Organization
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Legal Business Name | BABY NEST LLC
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Dates
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Enumeration Date | 11/07/2017
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Last Update Date | 11/07/2017
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Provider Practice Location Address
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Address Line | 132 W 23RD ST
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City | VANCOUVER
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State | WA
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Zip | 98660-2621
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Country | US
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Telephone | 360-525-3432
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Fax |
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Provider Business Mailing Address
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Address Line | 132 W 23RD ST
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City | VANCOUVER
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State | WA
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Zip | 98660-2621
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Country | US
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Telephone | 360-525-3432
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHERILEE VALENTA
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Credential | CD, AAHCC
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Telephone | 360-525-3432
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 604-132-924
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License Number State | WA
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