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General NPI Number Information
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NPI Number | 1326987421
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Entity Type | Organization
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Legal Business Name | AGAPEGRACE NURSING SERVICES, PLLC
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 15301 NE 77TH ST
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City | VANCOUVER
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State | WA
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Zip | 98682-3831
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Country | US
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Telephone | 408-219-8159
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Fax |
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Provider Business Mailing Address
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Address Line | 15301 NE 77TH ST
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City | VANCOUVER
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State | WA
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Zip | 98682-3831
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Country | US
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Telephone | 408-219-8159
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ZEWEDITU T GIBREHIWOT
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Credential |
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Telephone | 408-219-8159
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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