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General NPI Number Information
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NPI Number | 1821874058
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Entity Type | Individual
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Provider Name | MEKLIT K HAILE
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Gender | Female
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Dates
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Enumeration Date | 09/05/2023
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Last Update Date | 09/05/2023
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Provider Practice Location Address
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Address Line | 1700 WESTLAKE AVE N STE 200
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City | SEATTLE
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State | WA
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Zip | 98109-6212
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Country | US
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Telephone | 425-374-8460
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Fax |
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Provider Business Mailing Address
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Address Line | 6018 CADY RD
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City | EVERETT
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State | WA
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Zip | 98203-3724
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Country | US
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Telephone | 206-428-8602
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | IHS.FS.61252916
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License Number State | WA
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