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General NPI Number Information
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NPI Number | 1801888920
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Entity Type | Organization
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Legal Business Name | YAKIMA HMA HOME HEALTH LLC
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 7 S 10TH AVE
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City | YAKIMA
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State | WA
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Zip | 98902-3318
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Country | US
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Telephone | 509-575-5093
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Fax | 509-837-6537
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Provider Business Mailing Address
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Address Line | PO BOX 719
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City | SUNNYSIDE
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State | WA
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Zip | 98944-0719
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Country | US
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Telephone | 509-575-5093
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Fax | 509-454-6537
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Authorized Official
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Title or Position | CFO
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Name | MATTHEW A MATHIESSEN
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Credential |
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Telephone | 509-837-1379
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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 |
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