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General NPI Number Information
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NPI Number | 1013714914
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Entity Type | Organization
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Legal Business Name | FIR LANE CARE LLC
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 2430 N 13TH ST
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City | SHELTON
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State | WA
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Zip | 98584-1213
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Country | US
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Telephone | 360-426-1651
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Fax |
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Provider Business Mailing Address
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Address Line | 3220 ROSEDALE ST STE 200
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City | GIG HARBOR
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State | WA
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Zip | 98335-1837
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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 | MANAGER
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Name | RAPHAEL OSCHEROWITZ
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Credential |
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Telephone | 253-251-9300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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