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General NPI Number Information
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NPI Number | 1528622511
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Entity Type | Organization
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Legal Business Name | HOMESTEWARDS LLC
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Dates
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Enumeration Date | 04/25/2019
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Last Update Date | 01/19/2021
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Provider Practice Location Address
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Address Line | 5701 3RD AVE S STE B
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City | SEATTLE
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State | WA
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Zip | 98108-2437
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Country | US
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Telephone | 206-347-3030
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Fax | 206-347-3031
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Provider Business Mailing Address
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Address Line | 4004 58TH PL SW
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City | SEATTLE
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State | WA
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Zip | 98116-3509
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Country | US
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Telephone | 410-299-2398
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF CLIENT RELATIONS
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Name | SCOTT COLLINS
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Credential |
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Telephone | 410-299-2398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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