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General NPI Number Information
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NPI Number | 1912750530
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Entity Type | Organization
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Legal Business Name | ESSENTIAL HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 04/11/2024
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Last Update Date | 04/19/2024
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Provider Practice Location Address
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Address Line | 1909 104TH AVE E UNIT V306
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City | EDGEWOOD
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State | WA
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Zip | 98372-1743
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Country | US
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Telephone | 978-319-7719
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Fax |
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Provider Business Mailing Address
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Address Line | 1909 104TH AVE E UNIT V306
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City | EDGEWOOD
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State | WA
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Zip | 98372-1743
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | ERICK GAKUO
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Credential |
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Telephone | 978-319-7719
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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