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General NPI Number Information
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NPI Number | 1750736328
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Entity Type | Organization
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Legal Business Name | HOME CARE MASTERS LLC
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Dates
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Enumeration Date | 05/02/2016
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Last Update Date | 05/02/2016
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Provider Practice Location Address
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Address Line | 901 RAINIER AVE N B200
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City | RENTON
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State | WA
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Zip | 98057-5377
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Country | US
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Telephone | 206-612-9283
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Fax | 206-268-0707
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Provider Business Mailing Address
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Address Line | 901 RAINIER AVE N B200
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City | RENTON
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State | WA
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Zip | 98057-5377
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Country | US
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Telephone | 206-612-9283
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Fax | 206-268-0707
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Authorized Official
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Title or Position | OPERATIONS DIRECTOR
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Name | MR. MULENGA MAKUNGU
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Credential |
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Telephone | 206-535-6291
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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 | IHS.FS.60339836
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License Number State | WA
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