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General NPI Number Information
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NPI Number | 1366275067
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Entity Type | Organization
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Legal Business Name | CASCADES AT THORNTON CREEK LLC
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Dates
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Enumeration Date | 08/20/2024
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 3540 NE 110TH ST
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City | SEATTLE
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State | WA
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Zip | 98125-5761
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Country | US
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Telephone | 206-363-7733
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Fax | 206-363-1876
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Provider Business Mailing Address
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Address Line | 3540 NE 110TH ST
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City | SEATTLE
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State | WA
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Zip | 98125-5761
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Country | US
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Telephone | 206-363-7733
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Fax | 206-363-1876
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Authorized Official
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Title or Position | CEO
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Name | DARIN MCSPADDEN
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Credential |
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Telephone | 801-426-4905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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