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General NPI Number Information
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NPI Number | 1285456244
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Entity Type | Organization
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Legal Business Name | HEARTLINKS
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 3920 OUTLOOK RD
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City | SUNNYSIDE
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State | WA
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Zip | 98944-9202
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Country | US
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Telephone | 509-837-1676
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Fax | 509-837-1992
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Provider Business Mailing Address
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Address Line | 204 W 2ND ST
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City | GRANDVIEW
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State | WA
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Zip | 98930-1361
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Country | US
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Telephone | 509-837-1676
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SHELBY ELAINE MOORE
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Credential |
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Telephone | 509-837-1676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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