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General NPI Number Information
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NPI Number | 1922425370
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Entity Type | Organization
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Legal Business Name | PEACE AT HOME NURSING SERVICES LLC
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Dates
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Enumeration Date | 03/24/2014
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 9407 NE 166TH AVE
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City | VANCOUVER
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State | WA
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Zip | 98682-1592
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Country | US
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Telephone | 360-949-5658
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Fax | 541-647-6554
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Provider Business Mailing Address
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Address Line | 9407 NE 166TH AVE
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City | VANCOUVER
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State | WA
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Zip | 98682-1592
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Country | US
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Telephone | 360-949-5658
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Fax | 541-647-6554
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Authorized Official
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Title or Position | OWNER
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Name | AMANDA JOY BELLUS
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Credential | RN BSN
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Telephone | 360-949-5658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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