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General NPI Number Information
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NPI Number | 1629882287
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Entity Type | Organization
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Legal Business Name | EPIPHANY HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 3407 MEADOW AVE N
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City | RENTON
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State | WA
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Zip | 98056-1920
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Country | US
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Telephone | 425-545-9844
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Fax | 425-988-3161
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Provider Business Mailing Address
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Address Line | 3407 MEADOW AVE N
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City | RENTON
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State | WA
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Zip | 98056-1920
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Country | US
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Telephone | 425-545-9844
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Fax | 425-988-3161
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Authorized Official
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Title or Position | MANAGER
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Name | ADJARATOU KATEMBO
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Credential |
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Telephone | 206-834-5671
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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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