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General NPI Number Information
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NPI Number | 1942029350
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Entity Type | Organization
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Legal Business Name | RENTON SNF HEALTHCARE LLC
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Dates
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Enumeration Date | 10/03/2024
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 17420 106TH PL SE
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City | RENTON
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State | WA
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Zip | 98055-5438
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Country | US
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Telephone | 206-962-8841
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Fax |
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Provider Business Mailing Address
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Address Line | 262 N UNIVERSITY AVE
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City | FARMINGTON
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State | UT
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Zip | 84025-2975
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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 | SECRETARY
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Name | JOHN MITCHELL
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Credential |
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Telephone | 385-988-3319
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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