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General NPI Number Information
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NPI Number | 1528239258
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Entity Type | Organization
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Legal Business Name | HARMONY HEIGHTS AFH
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Dates
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Enumeration Date | 03/20/2008
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Last Update Date | 03/20/2008
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Provider Practice Location Address
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Address Line | 14318 141ST CT SE
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City | RENTON
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State | WA
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Zip | 98059-5421
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Country | US
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Telephone | 425-255-5143
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Fax | 425-271-2553
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Provider Business Mailing Address
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Address Line | 13014 171ST ST E
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City | SOUTH HILL
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State | WA
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Zip | 98374-9577
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Country | US
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Telephone | 253-250-2703
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Fax | 425-271-2553
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MRS. MARIEBEL TUGADE YANCEY
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Credential | RN
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Telephone | 253-250-2703
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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 | 750488
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License Number State | WA
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