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General NPI Number Information
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NPI Number | 1316830250
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Entity Type | Organization
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Legal Business Name | ALL HEART HOME CARE, LLC ACTI-KARE RESPONSIVE IN-HOME CARE
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 12719 SE 8TH ST
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City | VANCOUVER
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State | WA
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Zip | 98683-6129
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Country | US
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Telephone | 503-887-5351
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Fax |
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Provider Business Mailing Address
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Address Line | 12719 SE 8TH ST
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City | VANCOUVER
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State | WA
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Zip | 98683-6129
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Country | US
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Telephone | 503-887-5351
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Fax |
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Authorized Official
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Title or Position | OWNER/AREA DIRECTOR
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Name | EMILY KLINGER TYBURSKI
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Credential |
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Telephone | 503-887-5351
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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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