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NPI 1174074959

NPI 1174074959 : UMIKI WASHINGTON : WATERFORD, MI

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General NPI Number Information
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    NPI Number           |    1174074959
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    Entity Type          |    Individual 
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    Provider Name        |    UMIKI WASHINGTON
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/17/2016
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    Last Update Date     |    10/17/2016
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Provider Practice Location Address
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    Address Line         |    5292 ROSAMOND LN APT 7
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    City                 |    WATERFORD
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    State                |    MI
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    Zip                  |    48327-3161
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    Country              |    US
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    Telephone            |    248-760-8337
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 395 
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    City                 |    BLOOMFIELD
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    State                |    MI
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    Zip                  |    48303-0395
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    Country              |    US
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    Telephone            |    248-760-8337
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    Fax                  |    
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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        |    372600000X
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    Taxonomy Name        |    Adult Companion
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    372500000X
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    Taxonomy Name        |    Chore Provider
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    374U00000X
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    Taxonomy Name        |    Home Health Aide
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    License Number       |    
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    License Number State |    
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