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General NPI Number Information
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NPI Number | 1174461917
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Entity Type | Organization
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Legal Business Name | NEACARE LIVING ADULT FAMILY HOME
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 3510 S RIDGEVIEW DR
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City | SPOKANE VALLEY
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State | WA
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Zip | 99206-9504
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Country | US
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Telephone | 509-507-8287
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Fax |
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Provider Business Mailing Address
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Address Line | 3510 S RIDGEVIEW DR
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City | SPOKANE VALLEY
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State | WA
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Zip | 99206-9504
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Country | US
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Telephone | 509-507-8287
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | MILLICENT CHEROTICH
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Credential |
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Telephone | 509-507-8287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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