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General NPI Number Information
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NPI Number | 1922592146
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Entity Type | Organization
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Legal Business Name | HAPPY LIFE CORP
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Dates
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Enumeration Date | 06/20/2018
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 1595 NW GILMAN BLVD STE 6B
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City | ISSAQUAH
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State | WA
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Zip | 98027-5329
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Country | US
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Telephone | 425-369-4044
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Fax | 425-961-0754
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Provider Business Mailing Address
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Address Line | 1595 NW GILMAN BLVD STE 6B
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City | ISSAQUAH
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State | WA
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Zip | 98027-5329
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Country | US
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Telephone | 425-369-4044
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Fax | 425-961-0754
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Authorized Official
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Title or Position | OWNER
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Name | MR. RICHARD C SMITH II
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Credential |
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Telephone | 425-369-4044
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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 | IHS.FS.60729445
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License Number State | WA
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