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General NPI Number Information
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NPI Number | 1780070599
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Entity Type | Organization
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Legal Business Name | HOME INSTEAD SENIOR CARE
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Dates
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Enumeration Date | 04/08/2015
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Last Update Date | 04/08/2015
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Provider Practice Location Address
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Address Line | 3221 EASTLAKE AVE E SUITE #120
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City | SEATTLE
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State | WA
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Zip | 98102-7125
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Country | US
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Telephone | 206-622-4663
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Fax | 206-223-8544
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Provider Business Mailing Address
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Address Line | 3221 EASTLAKE AVE E SUITE #120
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City | SEATTLE
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State | WA
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Zip | 98102-7125
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Country | US
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Telephone | 206-622-4663
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Fax | 206-223-8544
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROGER KENNETH LOW
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Credential |
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Telephone | 206-622-4663
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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 | RCW 70.127
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License Number State | WA
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