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General NPI Number Information
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NPI Number | 1275450892
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Entity Type | Organization
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Legal Business Name | SOUTH SOUND CARES LLC
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Dates
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Enumeration Date | 07/03/2026
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Last Update Date | 07/03/2026
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Provider Practice Location Address
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Address Line | 520 LILLY RD NE BLDG 2
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City | OLYMPIA
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State | WA
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Zip | 98506-5255
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Country | US
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Telephone | 564-250-4200
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Fax | 360-353-4148
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Provider Business Mailing Address
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Address Line | 520 LILLY RD NE BLDG 2
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City | OLYMPIA
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State | WA
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Zip | 98506-5255
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Country | US
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Telephone | 564-250-4200
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Fax | 360-353-4148
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Authorized Official
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Title or Position | OWNER
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Name | TREVOR STANTUS
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Credential |
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Telephone | 564-250-4200
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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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