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General NPI Number Information
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NPI Number | 1104707876
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Entity Type | Organization
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Legal Business Name | ANTHEA ANDREA AFH LLC
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 450 NE HARVEST DR
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City | OAK HARBOR
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State | WA
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Zip | 98277-5911
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Country | US
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Telephone | 360-246-4147
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Fax | 360-246-4939
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Provider Business Mailing Address
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Address Line | 450 NE HARVEST DR
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City | OAK HARBOR
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State | WA
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Zip | 98277-5911
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Country | US
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Telephone | 360-246-4147
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Fax | 360-246-4939
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | IRENE IBARRA SANTOS
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Credential | CNA
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Telephone | 808-256-1480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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