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General NPI Number Information
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NPI Number | 1821971664
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Entity Type | Organization
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Legal Business Name | EVERBLOSSOM HEALTH LLC
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 3815 NE 4TH ST APT D115
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City | RENTON
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State | WA
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Zip | 98056-8539
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Country | US
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Telephone | 206-429-0684
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Fax |
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Provider Business Mailing Address
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Address Line | 1207 N LANDING WAY # 1298
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City | RENTON
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State | WA
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Zip | 98057-5521
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Country | US
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Telephone | 206-429-0684
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Fax |
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Authorized Official
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Title or Position | FOUNDER AND OWNER
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Name | BINTO HUSSEIN
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Credential |
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Telephone | 206-429-0684
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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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