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General NPI Number Information
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NPI Number | 1265389233
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Entity Type | Organization
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Legal Business Name | WENAM ADULT FAMILY HOME LLC
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Dates
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Enumeration Date | 03/11/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 5920 E 9TH AVE
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City | SPOKANE VALLEY
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State | WA
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Zip | 99212-0219
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Country | US
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Telephone | 509-866-3112
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Fax | 509-919-4202
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Provider Business Mailing Address
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Address Line | 5920 E 9TH AVE
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City | SPOKANE VALLEY
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State | WA
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Zip | 99212-0219
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Country | US
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Telephone | 509-866-3112
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Fax | 509-919-4202
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | MR. HUMPHREY A OYOO
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Credential | 311ZA0620X
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Telephone | 509-866-3112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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