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General NPI Number Information
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NPI Number | 1316679293
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Entity Type | Organization
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Legal Business Name | PRIME QUALITY SERVICES, LLC
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Dates
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Enumeration Date | 06/29/2022
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Last Update Date | 07/26/2023
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Provider Practice Location Address
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Address Line | 16702 31ST AVE S APT 121
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City | SEATAC
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State | WA
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Zip | 98188-3182
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Country | US
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Telephone | 206-503-7699
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Fax |
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Provider Business Mailing Address
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Address Line | 16702 31ST AVE S APT 121
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City | SEATAC
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State | WA
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Zip | 98188-3182
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Country | US
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Telephone | 206-503-7699
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ABDIRAHMAN O HERSI
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Credential |
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Telephone | 206-503-7699
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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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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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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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