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General NPI Number Information
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NPI Number | 1558879601
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Entity Type | Organization
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Legal Business Name | AGAPE HOME CARE LLC
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Dates
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Enumeration Date | 01/10/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 4613 NE WORK AVE
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City | VANCOUVER
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State | WA
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Zip | 98663-2159
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Country | US
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Telephone | 360-993-7734
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Fax |
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Provider Business Mailing Address
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Address Line | 4613 NE WORK AVE
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City | VANCOUVER
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State | WA
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Zip | 98663-2159
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | CALIN BUZAS
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Credential |
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Telephone | 360-433-5496
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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 | 751006
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License Number State |
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