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General NPI Number Information
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NPI Number | 1104761840
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Entity Type | Individual
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Provider Name | MRS. SYLVIA ZULLO
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Gender | Female
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 12525 VINE MAPLE DR SW
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City | LAKEWOOD
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State | WA
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Zip | 98499-1133
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Country | US
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Telephone | 206-306-5104
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Fax | 253-656-6788
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Provider Business Mailing Address
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Address Line | 7113 65TH AVE W
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City | LAKEWOOD
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State | WA
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Zip | 98499-2363
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Country | US
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Telephone | 253-223-6524
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Fax | 253-656-6788
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number | 751084
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License Number State | WA
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