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General NPI Number Information
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NPI Number | 1881507796
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Entity Type | Organization
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Legal Business Name | CASCADIAN ADULT FMILY HOME
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 14404 CASCADIAN WAY
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City | EVERETT
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State | WA
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Zip | 98208-7356
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Country | US
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Telephone | 206-851-1813
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Fax | 425-967-3884
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Provider Business Mailing Address
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Address Line | 14404 CASCADIAN WAY
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City | EVERETT
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State | WA
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Zip | 98208-7356
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Country | US
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Telephone | 206-851-1813
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Fax | 425-967-3884
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Authorized Official
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Title or Position | CARE GIVER
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Name | ALEMSEGED BENIT
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Credential | NAR
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Telephone | 206-851-1813
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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