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General NPI Number Information
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NPI Number | 1841762382
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Entity Type | Organization
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Legal Business Name | WELLTOWER COGIR TENANT LLC
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Dates
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Enumeration Date | 12/21/2018
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Last Update Date | 12/21/2018
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Provider Practice Location Address
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Address Line | 11501 15TH AVE NE
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City | SEATTLE
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State | WA
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Zip | 98125-6320
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Country | US
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Telephone | 206-362-7250
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Fax |
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Provider Business Mailing Address
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Address Line | 14905 BOTHELL EVERETT HWY
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City | MILL CREEK
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State | WA
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Zip | 98012-5315
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Country | US
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Telephone | 418-209-6169
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Fax |
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Authorized Official
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Title or Position | SENIOR REGIONAL DIRECTOR
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Name | BENOIT LEVESQUE
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Credential |
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Telephone | 418-209-6169
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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