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General NPI Number Information
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NPI Number | 1912520123
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Entity Type | Organization
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Legal Business Name | SOUTH KING HEALTHCARE SERVICES,SPC
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Dates
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Enumeration Date | 05/21/2020
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 950 BROADWAY STE 434
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City | TACOMA
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State | WA
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Zip | 98402-4445
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Country | US
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Telephone | 253-517-8372
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Fax | 253-737-5772
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Provider Business Mailing Address
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Address Line | 2505 S 320TH ST STE 235
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City | FEDERAL WAY
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State | WA
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Zip | 98003-5461
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Country | US
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Telephone | 253-517-8372
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Fax | 253-737-5772
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Authorized Official
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Title or Position | MEDICAL CASE MANAGER
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Name | RACHAEL N GATHONI
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Credential |
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Telephone | 253-517-8372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 171R00000X
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Taxonomy Name | Interpreter
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License Number |
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License Number State |
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Taxonomy #3
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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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