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General NPI Number Information
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NPI Number | 1720480809
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Entity Type | Organization
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Legal Business Name | SANGFROID GROUP INC
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Dates
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Enumeration Date | 09/21/2014
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Last Update Date | 09/21/2014
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Provider Practice Location Address
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Address Line | 14057 6TH AVE S
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City | BURIEN
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State | WA
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Zip | 98168-3522
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Country | US
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Telephone | 253-345-1550
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Fax |
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Provider Business Mailing Address
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Address Line | 14057 6TH AVE S
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City | BURIEN
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State | WA
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Zip | 98168-3522
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Country | US
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Telephone | 253-345-1550
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | LYDIA AFIA MILLS
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Credential | MSN, RN
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Telephone | 678-896-1744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 603385726
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License Number State | WA
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