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General NPI Number Information
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NPI Number | 1780122606
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Entity Type | Organization
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Legal Business Name | HERITAGE MEDICAL STAFFING INC
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Dates
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Enumeration Date | 02/11/2017
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Last Update Date | 02/11/2017
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Provider Practice Location Address
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Address Line | 23830 PACIFIC HWY S SUITE # 333
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City | KENT
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State | WA
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Zip | 98032-7734
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Country | US
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Telephone | 206-519-0999
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Fax | 253-344-1106
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Provider Business Mailing Address
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Address Line | 23830 PACIFIC HWY S SUITE # 333
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City | KENT
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State | WA
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Zip | 98032-7734
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Country | US
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Telephone | 206-519-0999
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Fax | 253-344-1106
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Authorized Official
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Title or Position | DIRECTOR
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Name | MISS EVELYN WAMBUI NJUKI
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Credential |
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Telephone | 510-990-1134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | WA
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