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General NPI Number Information
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NPI Number | 1386639433
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Entity Type | Organization
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Legal Business Name | HIGHLINE CARE CENTERS, LLC
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Dates
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Enumeration Date | 09/14/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 609 HIGHLINE DR
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City | EAST WENATCHEE
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State | WA
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Zip | 98802-5603
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Country | US
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Telephone | 509-662-1636
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Fax | 509-662-8690
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Provider Business Mailing Address
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Address Line | 625 OKANOGAN AVE
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City | WENATCHEE
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State | WA
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Zip | 98801-6409
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Country | US
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Telephone | 509-662-1636
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Fax | 509-662-8690
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Authorized Official
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Title or Position | CONTROLLER
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Name | MS. DIANA V WILEY
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Credential |
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Telephone | 509-662-1636
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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 | 1306
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License Number State | WA
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