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General NPI Number Information
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NPI Number | 1003618281
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Entity Type | Individual
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Provider Name | EUNICE MONDOTHI
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Gender | Female
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 27205 33RD PL S
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City | KENT
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State | WA
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Zip | 98032-7078
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Country | US
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Telephone | 206-889-0838
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Fax | 253-981-3563
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Provider Business Mailing Address
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Address Line | 27205 33RD PL S
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City | KENT
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State | WA
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Zip | 98032-7078
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Country | US
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Telephone | 206-889-0838
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Fax | 253-981-3563
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 755713
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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