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General NPI Number Information
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NPI Number | 1295121499
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Entity Type | Organization
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Legal Business Name | RESCARE WASHINGTON INC
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Dates
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Enumeration Date | 04/14/2015
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Last Update Date | 04/14/2015
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Provider Practice Location Address
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Address Line | 136 N BROADMORE WAY STE 101
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City | NAMPA
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State | ID
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Zip | 83687-5187
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Country | US
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Telephone | 208-468-9504
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Fax | 208-468-9496
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Provider Business Mailing Address
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Address Line | 136 N BROADMORE WAY STE 101
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City | NAMPA
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State | ID
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Zip | 83687-5187
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Country | US
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Telephone | 208-468-9504
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Fax | 208-468-9496
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | NICHOLE ASHFORD
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Credential |
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Telephone | 208-899-5013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State | ID
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