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General NPI Number Information
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NPI Number | 1477467348
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Entity Type | Organization
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Legal Business Name | CALMNEST ADULT FAMILY HOME
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 5617 55TH LOOP SE
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City | OLYMPIA
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State | WA
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Zip | 98513-4629
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Country | US
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Telephone | 502-558-7563
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Fax |
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Provider Business Mailing Address
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Address Line | 5617 55TH LOOP SE
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City | OLYMPIA
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State | WA
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Zip | 98513-4629
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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 | OWNER
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Name | EMEKA DURUNNA
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Credential |
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Telephone | 502-558-7563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State | NULL
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