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General NPI Number Information
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NPI Number | 1427986306
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Entity Type | Organization
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Legal Business Name | BONBICA SERENITY AFH LLC
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 5427 S 296TH CT
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City | AUBURN
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State | WA
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Zip | 98001-2350
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Country | US
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Telephone | 425-428-2966
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Fax | 253-294-7210
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Provider Business Mailing Address
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Address Line | 5427 S 296TH CT
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City | AUBURN
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State | WA
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Zip | 98001-2350
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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 | MANAGER
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Name | MRS. MAURINE CHEPCHUMBA KIPTUM BOLAND
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Credential | BSN, RN,
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Telephone | 425-428-2966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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