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General NPI Number Information
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NPI Number | 1508702150
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Entity Type | Organization
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Legal Business Name | ABUNDANT CARE AND DIGNITY AFH LLC
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 13205 SE 189TH PL
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City | RENTON
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State | WA
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Zip | 98058-8053
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Country | US
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Telephone | 425-226-6574
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Fax |
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Provider Business Mailing Address
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Address Line | 13205 SE 189TH PL
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City | RENTON
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State | WA
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Zip | 98058-8053
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Country | US
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Telephone | 425-226-6574
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Fax |
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | TSEGAY TESFAGIORGIS
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Credential |
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Telephone | 206-335-9931
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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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