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General NPI Number Information
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NPI Number | 1487106456
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Entity Type | Organization
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Legal Business Name | SERENGETI CARE PARTNERS LLC
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Dates
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Enumeration Date | 10/26/2016
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 607 SW GRADY WAY STE 6008
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City | RENTON
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State | WA
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Zip | 98057-2977
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Country | US
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Telephone | 425-272-9272
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Fax | 425-207-7401
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Provider Business Mailing Address
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Address Line | 607 SW GRADY WAY STE 6008
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City | RENTON
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State | WA
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Zip | 98057-2977
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Country | US
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Telephone | 206-552-5472
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Fax | 425-207-7401
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ALBERT MUNANGA
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Credential | DBH
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Telephone | 206-552-5472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | S.FS.60660148
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | IHS.FS.60660148
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | IHS.FS.60660148
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License Number State | WA
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