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General NPI Number Information
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NPI Number | 1356708895
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Entity Type | Organization
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Legal Business Name | VANCOUVER HOME HEALTH CARE AGENCY LLC
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Dates
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Enumeration Date | 01/27/2016
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Last Update Date | 08/26/2022
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Provider Practice Location Address
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Address Line | 201 NE PARK PLAZA DR STE 200
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City | VANCOUVER
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State | WA
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Zip | 98684-5871
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Country | US
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Telephone | 360-975-7070
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Fax | 800-605-3780
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Provider Business Mailing Address
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Address Line | 201 NE PARK PLAZA DR STE 200
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City | VANCOUVER
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State | WA
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Zip | 98684-5871
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Country | US
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Telephone | 360-975-7070
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Fax | 360-975-4306
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Authorized Official
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Title or Position | ADMIN
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Name | MR. RAYON RAYMOND
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Credential |
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Telephone | 360-975-7070
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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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