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General NPI Number Information
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NPI Number | 1851203483
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Entity Type | Organization
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Legal Business Name | PUYALLUP LOVING ARMS AFH LLC
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Dates
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Enumeration Date | 09/18/2026
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Last Update Date | 09/18/2026
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Provider Practice Location Address
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Address Line | 10024 140TH STREET CT E
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City | PUYALLUP
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State | WA
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Zip | 98373-2567
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Country | US
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Telephone | 253-697-6465
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Fax | 253-733-1221
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Provider Business Mailing Address
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Address Line | 10024 140TH STREET CT E
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City | PUYALLUP
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State | WA
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Zip | 98373-2567
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Country | US
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Telephone | 253-697-6465
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Fax | 253-733-1221
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Authorized Official
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Title or Position | OWNER
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Name | MESFIN BERHE GEBREYOWHANNES
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Credential |
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Telephone | 206-458-3586
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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