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General NPI Number Information
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NPI Number | 1578086278
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Entity Type | Organization
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Legal Business Name | O'NEILL HOME CARE, INC.
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Dates
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Enumeration Date | 07/25/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 840 CALLAHAN DRIVE SUITE B
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City | BREMERTON
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State | WA
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Zip | 98310
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Country | US
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Telephone | 360-782-4663
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Fax |
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Provider Business Mailing Address
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Address Line | 840 CALLAHAN DR STE B
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City | BREMERTON
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State | WA
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Zip | 98310-3378
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Country | US
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Telephone | 360-782-4663
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | BARBARA SEIBER
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Credential |
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Telephone | 360-782-4663
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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 | 603436325
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License Number State | WA
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