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General NPI Number Information
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NPI Number | 1366441834
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Entity Type | Organization
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Legal Business Name | KIN ON HEALTH CARE CENTER
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Dates
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Enumeration Date | 07/18/2005
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Last Update Date | 06/03/2022
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Provider Practice Location Address
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Address Line | 4416 S BRANDON ST
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City | SEATTLE
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State | WA
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Zip | 98118-2341
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Country | US
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Telephone | 206-721-3630
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Fax | 206-721-3626
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Provider Business Mailing Address
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Address Line | 4416 S BRANDON ST
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City | SEATTLE
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State | WA
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Zip | 98118-2341
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Country | US
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Telephone | 206-721-3630
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Fax | 206-721-3626
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | KETTY HSIEH
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Credential |
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Telephone | 206-556-2222
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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 | 1221
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License Number State | WA
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