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General NPI Number Information
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NPI Number | 1467260265
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Entity Type | Organization
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Legal Business Name | MARIGOLD HEALTHCARE SOLUTIONS LLC
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Dates
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Enumeration Date | 12/26/2024
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 15022 25TH AVENUE CT E
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City | PARKLAND
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State | WA
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Zip | 98445-4938
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Country | US
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Telephone | 253-281-8797
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Fax | 253-276-4843
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Provider Business Mailing Address
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Address Line | 15022 25TH AVENUE CT E
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City | PARKLAND
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State | WA
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Zip | 98445-4938
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Country | US
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Telephone | 253-281-8797
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Fax | 253-276-4843
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Authorized Official
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Title or Position | AFH PROVIDER
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Name | SUSHANT B SHAH
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Credential |
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Telephone | 253-281-8797
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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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