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General NPI Number Information
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NPI Number | 1750014007
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Entity Type | Organization
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Legal Business Name | NEWMANN-GODFUL AFH LLC
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Dates
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Enumeration Date | 07/05/2022
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 13607 67TH AVE E
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City | PUYALLUP
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State | WA
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Zip | 98373-6342
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Country | US
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Telephone | 253-250-8326
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Fax |
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Provider Business Mailing Address
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Address Line | 13607 67TH AVE E
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City | PUYALLUP
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State | WA
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Zip | 98373-6342
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Country | US
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Telephone | 253-250-8326
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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 | CHRISTIANA NEWMANN-GODFUL
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Credential | BSN
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Telephone | 253-250-8326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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