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General NPI Number Information
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NPI Number | 1366962953
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Entity Type | Organization
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Legal Business Name | WENATCHEE HOME HEALTH LLC
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Dates
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Enumeration Date | 06/23/2017
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Last Update Date | 05/17/2024
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Provider Practice Location Address
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Address Line | 285 TECHNOLOGY CENTER WAY STE 107
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City | WENATCHEE
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State | WA
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Zip | 98801-8120
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Country | US
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Telephone | 509-663-9585
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Fax |
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Provider Business Mailing Address
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Address Line | 285 TECHNOLOGY CENTER WAY STE 107
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City | WENATCHEE
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State | WA
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Zip | 98801-8120
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Country | US
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Telephone | 509-663-9585
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Fax | 559-663-2925
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Authorized Official
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Title or Position | COO
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Name | MATTHEW HAM
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Credential |
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Telephone | 509-663-9585
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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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