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General NPI Number Information
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NPI Number | 1760474241
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Entity Type | Organization
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Legal Business Name | MULTICARE HEALTH SYSTEM
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Dates
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Enumeration Date | 08/19/2005
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 1313 BROADWAY STE 200
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City | TACOMA
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State | WA
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Zip | 98402-3400
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Country | US
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Telephone | 253-301-6400
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 5299 MS: 820-5-PCO
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City | TACOMA
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State | WA
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Zip | 98415-0299
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | WILLIAM GLENN ROBERTSON
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Credential |
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Telephone | 253-403-1272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | IS302
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License Number State | WA
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