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General NPI Number Information
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NPI Number | 1609166420
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Entity Type | Organization
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Legal Business Name | ISQH, LLC
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Dates
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Enumeration Date | 04/13/2011
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Last Update Date | 04/13/2011
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Provider Practice Location Address
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Address Line | 22975 SE BLACK NUGGET RD
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City | ISSAQUAH
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State | WA
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Zip | 98029-6997
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Country | US
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Telephone | 425-557-4200
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Fax | 425-557-4213
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Provider Business Mailing Address
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Address Line | 400 UNION ST 4TH FLOOR
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City | SEATTLE
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State | WA
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Zip | 98101-2502
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Country | US
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Telephone | 206-470-8000
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Fax | 206-470-8190
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Authorized Official
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Title or Position | MANAGER
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Name | MR. ELI J ALMO
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Credential |
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Telephone | 206-470-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 1565
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License Number State | WA
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