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General NPI Number Information
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NPI Number | 1114875341
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Entity Type | Organization
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Legal Business Name | STEMUELITA LIMITED LIABILITY COMPANY
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Dates
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Enumeration Date | 03/21/2026
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Last Update Date | 03/21/2026
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Provider Practice Location Address
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Address Line | 12209 A ST S
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City | TACOMA
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State | WA
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Zip | 98444-5114
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Country | US
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Telephone | 253-424-2325
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Fax |
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Provider Business Mailing Address
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Address Line | 12209 A ST S
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City | TACOMA
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State | WA
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Zip | 98444-5114
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Country | US
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Telephone | 253-424-2325
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | OSSAI NELLY OLIME
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Credential | OLIME
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Telephone | 619-886-4457
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number |
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License Number State |
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