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General NPI Number Information
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NPI Number | 1508864935
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Entity Type | Organization
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Legal Business Name | REGENCY COUPEVILLE, LLC
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Dates
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Enumeration Date | 07/10/2005
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Last Update Date | 02/08/2021
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Provider Practice Location Address
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Address Line | 311 NE 3RD ST
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City | COUPEVILLE
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State | WA
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Zip | 98239-3427
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Country | US
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Telephone | 360-678-2273
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Fax | 360-678-0510
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Provider Business Mailing Address
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Address Line | 311 NE 3RD ST
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City | COUPEVILLE
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State | WA
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Zip | 98239-3427
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Country | US
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Telephone | 360-678-2273
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Fax | 360-678-0510
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Authorized Official
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Title or Position | CORPORATE PARALEGAL
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Name | ALI WILLIAMS
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Credential |
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Telephone | 425-623-1466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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