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General NPI Number Information
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NPI Number | 1750378402
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Entity Type | Organization
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Legal Business Name | FIRCREST
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Dates
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Enumeration Date | 09/27/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 15230 15TH AVE NE
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City | SHORELINE
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State | WA
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Zip | 98155-7130
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Country | US
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Telephone | 206-361-3511
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Fax | 206-361-2997
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Provider Business Mailing Address
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Address Line | 15230 15TH AVE NE
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City | SHORELINE
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State | WA
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Zip | 98155-7130
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Country | US
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Telephone | 206-361-3511
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Fax | 206-361-2997
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Authorized Official
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Title or Position | NHA
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Name | MS. SHIRLEY N. PILKEY
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Credential | B.A.
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Telephone | 206-361-3515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State |
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