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General NPI Number Information
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NPI Number | 1073369435
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Entity Type | Organization
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Legal Business Name | 1 WARNER HOME AFH, LLC
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Dates
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Enumeration Date | 04/26/2024
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 5241 S WARNER ST
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City | TACOMA
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State | WA
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Zip | 98409-5435
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Country | US
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Telephone | 253-475-0249
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Fax |
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Provider Business Mailing Address
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Address Line | 2333 S 280TH PL
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City | FEDERAL WAY
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State | WA
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Zip | 98003-2931
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Country | US
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Telephone | 206-458-2462
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | PAMALDEEP KAUR
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Credential |
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Telephone | 206-458-2462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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