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General NPI Number Information
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NPI Number | 1497575328
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Entity Type | Organization
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Legal Business Name | VIVIA HOME CARE WA, LLC
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 3425 ENSIGN RD NE STE 100
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City | OLYMPIA
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State | WA
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Zip | 98506-5068
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Country | US
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Telephone | 888-484-2250
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Fax |
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Provider Business Mailing Address
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Address Line | 820 MILILANI ST STE 711
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City | HONOLULU
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State | HI
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Zip | 96813-2937
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Country | US
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Telephone | 808-457-1655
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Fax | 808-535-1547
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Authorized Official
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Title or Position | MANAGER
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Name | DEW-ANNE LANGCAON
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Credential |
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Telephone | 808-457-1656
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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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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 |
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License Number State |
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