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General NPI Number Information
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NPI Number | 1417819343
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Entity Type | Organization
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Legal Business Name | NEW ERA ADULT FAMILY HOME AT LYNNWOOD
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 6230 188TH ST SW
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City | LYNNWOOD
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State | WA
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Zip | 98037-7248
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Country | US
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Telephone | 206-355-2562
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Fax | 425-382-7643
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Provider Business Mailing Address
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Address Line | 428 218TH ST SW
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City | BOTHELL
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State | WA
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Zip | 98021-8155
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Country | US
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Telephone | 206-355-2562
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Fax | 425-382-7643
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Authorized Official
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Title or Position | PROVIDER
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Name | MESFIN GEWE
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Credential |
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Telephone | 206-355-2562
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #2
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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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