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General NPI Number Information
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NPI Number | 1811860257
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Entity Type | Organization
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Legal Business Name | ABUNDANCE OF HOPE CARE CENTER
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 4431 MARTIN LUTHER KING JR WAY S
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City | SEATTLE
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State | WA
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Zip | 98108-1606
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Country | US
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Telephone | 206-693-9605
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Fax |
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Provider Business Mailing Address
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Address Line | 2715 E UNION ST # 83
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City | SEATTLE
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State | WA
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Zip | 98122-3163
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Country | US
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Telephone | 206-693-9605
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | GENNA GREEN
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Credential |
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Telephone | 206-693-9605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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