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General NPI Number Information
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NPI Number | 1295699445
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Entity Type | Organization
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Legal Business Name | KONDA HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 930 S 336TH ST STE G
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City | FEDERAL WAY
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State | WA
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Zip | 98003-6384
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Country | US
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Telephone | 443-766-5628
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Fax |
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Provider Business Mailing Address
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Address Line | 31914 3RD PL SW APT D
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City | FEDERAL WAY
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State | WA
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Zip | 98023-4695
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Country | US
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Telephone | 443-766-5628
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Fax |
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Authorized Official
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Title or Position | CEO/EXECUTIVE DIRECTOR
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Name | MS. CHIPILIRO CHISAO NAMELO
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Credential | RN
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Telephone | 443-766-5628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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