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General NPI Number Information
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NPI Number | 1639850803
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Entity Type | Organization
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Legal Business Name | ABOUNDING GRACE AFH LLC
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Dates
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Enumeration Date | 07/28/2023
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Last Update Date | 07/28/2023
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Provider Practice Location Address
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Address Line | 6200 123RD AVE SE
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City | BELLEVUE
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State | WA
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Zip | 98006-4448
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Country | US
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Telephone | 949-735-1608
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Fax | 425-590-9632
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Provider Business Mailing Address
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Address Line | 6200 123RD AVE SE
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City | BELLEVUE
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State | WA
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Zip | 98006-4448
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Country | US
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Telephone | 425-641-0405
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Fax | 425-590-9632
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DANIEL IORGA
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Credential |
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Telephone | 425-641-0405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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