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General NPI Number Information
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NPI Number | 1508707589
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Entity Type | Organization
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Legal Business Name | SOLACE 1ST AFH LLC
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Dates
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Enumeration Date | 04/02/2026
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 28101 73RD AVE NW
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City | STANWOOD
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State | WA
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Zip | 98292-4729
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Country | US
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Telephone | 360-399-7861
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Fax | 360-299-5099
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Provider Business Mailing Address
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Address Line | 28101 73RD AVE NW
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City | STANWOOD
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State | WA
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Zip | 98292-4729
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Country | US
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Telephone | 360-399-7861
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Fax | 360-299-5099
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MR. YARED B AMINE
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Credential |
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Telephone | 206-954-6262
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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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