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General NPI Number Information
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NPI Number | 1366350647
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Entity Type | Organization
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Legal Business Name | VILLAGE AT HOME
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Dates
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Enumeration Date | 08/28/2026
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Last Update Date | 08/28/2026
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Provider Practice Location Address
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Address Line | 535 MARKET ST STE E
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City | FRIDAY HARBOR
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State | WA
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Zip | 98250-7937
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Country | US
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Telephone | 360-378-2857
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Fax | 360-378-2856
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Provider Business Mailing Address
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Address Line | PO BOX 370
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City | FRIDAY HARBOR
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State | WA
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Zip | 98250-0370
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Country | US
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Telephone | 360-378-2857
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Fax | 360-378-2856
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Authorized Official
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Title or Position | FINANCE DIRECTOR/TREASURER
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Name | STEPHEN ANTHONY WAMBSGANSS
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Credential |
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Telephone | 360-378-2857
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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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