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General NPI Number Information
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NPI Number | 1336310663
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Entity Type | Organization
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Legal Business Name | THE WOODMARK AT STEEL LAKE LLC
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Dates
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Enumeration Date | 03/14/2008
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Last Update Date | 03/14/2008
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Provider Practice Location Address
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Address Line | 31200 23RD AVE S SUITE 100
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City | FEDERAL WAY
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State | WA
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Zip | 98003-5533
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Country | US
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Telephone | 253-941-5859
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Fax | 253-941-3470
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Provider Business Mailing Address
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Address Line | 31200 23RD AVE S SUITE 100
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City | FEDERAL WAY
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State | WA
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Zip | 98003-5533
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Country | US
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Telephone | 253-941-5859
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Fax | 253-941-3470
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. FLAVIA LAGRANGE
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Credential | MPA
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Telephone | 253-941-5859
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 1142
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License Number State | WA
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