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General NPI Number Information
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NPI Number | 1659645091
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Entity Type | Organization
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Legal Business Name | KALKAAL HOME HEALTH CARE AGENCY
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Dates
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Enumeration Date | 03/02/2012
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Last Update Date | 03/02/2012
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Provider Practice Location Address
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Address Line | 6721 MLK JR WAY SOUTH SUITE 6
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City | SEATTLE
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State | WA
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Zip | 98118
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Country | US
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Telephone | 206-607-7586
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Fax |
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Provider Business Mailing Address
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Address Line | 6721 MLK WAY JR S SUITE 6
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City | SEATTLE
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State | WA
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Zip | 98118
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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 | DIRECTOR
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Name | ABDIRAHMAN HERSI
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Credential |
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Telephone | 206-607-7586
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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 | 603171784
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License Number State | WA
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