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General NPI Number Information
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NPI Number | 1063228856
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Entity Type | Organization
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Legal Business Name | BENEVOLENT HEALTHCARE SOLUTIONS, LLC
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 5614 176TH ST E
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City | PUYALLUP
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State | WA
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Zip | 98375-9303
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Country | US
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Telephone | 253-449-8321
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Fax | 253-528-4071
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Provider Business Mailing Address
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Address Line | 713 24TH AVE SW
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City | PUYALLUP
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State | WA
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Zip | 98373-1459
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Country | US
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Telephone | 253-449-8321
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | TAISHUN THOMPSON
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Credential |
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Telephone | 253-449-8321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | NULL
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