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General NPI Number Information
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NPI Number | 1891961496
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Entity Type | Organization
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Legal Business Name | SOUNDVIEWCARECENTER
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Dates
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Enumeration Date | 05/02/2008
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Last Update Date | 05/02/2008
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Provider Practice Location Address
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Address Line | 3305 OLYMPIC BLVD W
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98466-1607
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Country | US
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Telephone | 253-566-5937
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Fax | 253-566-6217
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Provider Business Mailing Address
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Address Line | 6824 19TH ST W PMB 319
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98466-5528
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Country | US
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Telephone | 253-566-5937
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Fax | 253-566-6217
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Authorized Official
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Title or Position | OWNER
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Name | MRS. RUBY K. SANT
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Credential | CARGIVER
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Telephone | 253-566-5937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 550900
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License Number State | WA
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