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General NPI Number Information
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NPI Number | 1164848214
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Entity Type | Organization
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Legal Business Name | AMICABLE HEALTHCARE, INC.
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Dates
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Enumeration Date | 03/13/2014
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Last Update Date | 03/13/2014
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Provider Practice Location Address
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Address Line | 15220 32ND AVE S
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City | SEATAC
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State | WA
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Zip | 98188-2179
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Country | US
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Telephone | 206-246-0550
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Fax | 206-246-0562
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Provider Business Mailing Address
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Address Line | 15220 32ND AVENUE SOUTH SUITEB
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City | SEATAC
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State | WA
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Zip | 98188-2179
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Country | US
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Telephone | 206-246-0550
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Fax | 206-246-0562
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Authorized Official
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Title or Position | OPERATION DIRECTOR
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Name | MR. OLADAPO AMOSUN
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Credential |
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Telephone | 206-444-4810
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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 | IHS.FS.00000215
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License Number State | WA
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