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General NPI Number Information
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NPI Number | 1417038605
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Entity Type | Organization
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Legal Business Name | LUTHERAN RETIREMENT HOME OF GREATER SEATTLE INC
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 05/27/2014
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Provider Practice Location Address
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Address Line | 6720 E GREEN LAKE WAY N
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City | SEATTLE
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State | WA
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Zip | 98103-5439
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Country | US
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Telephone | 206-517-2225
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Fax | 206-517-2275
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Provider Business Mailing Address
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Address Line | 6720 E GREEN LAKE WAY N
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City | SEATTLE
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State | WA
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Zip | 98103-5439
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Country | US
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Telephone | 206-517-2225
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Fax | 206-517-2275
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. R KEVIN MCFEELY
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Credential |
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Telephone | 206-517-2225
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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 | 505027
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License Number State | WA
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