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General NPI Number Information
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NPI Number | 1942026984
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Entity Type | Organization
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Legal Business Name | IN HOME PROVIDERS INC
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Dates
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Enumeration Date | 11/25/2024
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 2723 173RD AVE E
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City | LAKE TAPPS
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State | WA
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Zip | 98391-5564
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Country | US
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Telephone | 253-228-4920
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Fax | 253-238-8722
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Provider Business Mailing Address
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Address Line | PO BOX 39811
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City | LAKEWOOD
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State | WA
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Zip | 98496-3811
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Country | US
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Telephone | 253-228-4920
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Fax | 253-238-4920
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Authorized Official
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Title or Position | PRESIDENT
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Name | FARRAH MAY CATOLICO MIRAN
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Credential |
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Telephone | 253-228-4920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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