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General NPI Number Information
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NPI Number | 1538877436
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Entity Type | Organization
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Legal Business Name | OPEN ARMS HOME CARE, LLC
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Dates
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Enumeration Date | 11/09/2022
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Last Update Date | 11/09/2022
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Provider Practice Location Address
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Address Line | 932 1/2 6TH ST
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City | CLARKSTON
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State | WA
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Zip | 99403-2079
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Country | US
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Telephone | 208-791-2386
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Fax | 509-295-8534
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Provider Business Mailing Address
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Address Line | 932 1/2 6TH ST
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City | CLARKSTON
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State | WA
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Zip | 99403-2079
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Country | US
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Telephone | 208-791-2386
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Fax | 509-295-8534
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Authorized Official
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Title or Position | MANAGER
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Name | MICHELLE PARSON
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Credential |
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Telephone | 208-791-2386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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