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General NPI Number Information
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NPI Number | 1700227832
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Entity Type | Organization
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Legal Business Name | BEST HEALTH FAMILY HOME
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Dates
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Enumeration Date | 07/17/2013
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Last Update Date | 07/17/2013
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Provider Practice Location Address
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Address Line | 17403 SE 196TH DR 6625 112 SE
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City | RENTON
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State | WA
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Zip | 98058-9624
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Country | US
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Telephone | 425-255-2111
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Fax |
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Provider Business Mailing Address
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Address Line | 714 S 38TH CT
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City | RENTON
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State | WA
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Zip | 98055-5894
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Country | US
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Telephone | 425-227-7139
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Fax |
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Authorized Official
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Title or Position | REGISTERED NURSE
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Name | HAZELINE VILLARUZ GUMIRAN-ALEJANDRO
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Credential |
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Telephone | 206-372-2960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 707700
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License Number State | WA
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