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General NPI Number Information
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NPI Number | 1437723053
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Entity Type | Organization
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Legal Business Name | LIGHT WITHIN HOME HEALTH LLC
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Dates
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Enumeration Date | 05/18/2021
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 9921 S 228TH PL
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City | KENT
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State | WA
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Zip | 98031-2559
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Country | US
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Telephone | 206-861-3232
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Fax |
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Provider Business Mailing Address
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Address Line | 9921 S 228TH PL
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City | KENT
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State | WA
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Zip | 98031-2559
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Country | US
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Telephone | 612-978-2495
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | HODAN FARAH RAGE
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Credential | BSN, RN
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Telephone | 206-861-3232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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