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General NPI Number Information
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NPI Number | 1376447045
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Entity Type | Individual
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Provider Name | KENNETH RAMENYA OLAKA
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Gender | Male
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 19330 24TH AVE W
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City | LYNNWOOD
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State | WA
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Zip | 98036-4812
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Country | US
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Telephone | 425-240-9685
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Fax | 360-294-7825
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Provider Business Mailing Address
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Address Line | 19330 24TH AVE W
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City | LYNNWOOD
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State | WA
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Zip | 98036-4812
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 757179
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License Number State | WA
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