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General NPI Number Information
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NPI Number | 1083123640
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Entity Type | Organization
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Legal Business Name | A & K HEALTH CARE SERVICES LLC
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Dates
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Enumeration Date | 09/27/2017
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Last Update Date | 09/27/2017
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Provider Practice Location Address
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Address Line | 2418 SW ROXBURY ST
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City | SEATTLE
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State | WA
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Zip | 98106-2648
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Country | US
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Telephone | 206-313-8687
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Fax |
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Provider Business Mailing Address
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Address Line | 19019 INTERNATIONAL BLVD # 231
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City | SEATAC
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State | WA
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Zip | 98188-5207
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Country | US
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Telephone | 206-313-8687
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | ABDIWELI MOHAMED FARAH
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Credential |
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Telephone | 206-313-8687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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