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General NPI Number Information
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NPI Number | 1225751092
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Entity Type | Organization
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Legal Business Name | GALAXY HOME HEALTH LLC
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Dates
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Enumeration Date | 09/26/2022
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Last Update Date | 09/26/2022
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Provider Practice Location Address
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Address Line | 707 S GRADY WAY STE 600
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City | RENTON
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State | WA
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Zip | 98057-3227
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Country | US
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Telephone | 425-207-7494
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Fax |
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Provider Business Mailing Address
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Address Line | 22829 SE 239TH CT
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City | MAPLE VALLEY
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State | WA
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Zip | 98038-5052
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Country | US
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Telephone | 702-788-2378
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. NGWEH AZAH
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Credential |
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Telephone | 425-433-8056
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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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