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General NPI Number Information
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NPI Number | 1144160888
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Entity Type | Organization
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Legal Business Name | MASTA LOGIC COMPASSIONATE CARE LLC
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 11310 SE 217TH ST
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City | KENT
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State | WA
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Zip | 98031-1334
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Country | US
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Telephone | 206-889-7986
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Fax |
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Provider Business Mailing Address
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Address Line | 25420 104TH AVE SE # 1027
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City | KENT
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State | WA
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Zip | 98030-6435
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Country | US
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Telephone | 206-889-7986
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. STANLEY KARURI GAKURE
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Credential |
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Telephone | 206-889-7986
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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