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General NPI Number Information
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NPI Number | 1942109897
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Entity Type | Organization
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Legal Business Name | FRASAR EVERGREEN LIVING INC
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Dates
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Enumeration Date | 11/05/2026
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Last Update Date | 11/05/2026
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Provider Practice Location Address
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Address Line | 16703 36TH AVE W
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City | LYNNWOOD
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State | WA
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Zip | 98037-7004
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Country | US
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Telephone | 425-678-8229
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Fax | 604-239-0353
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Provider Business Mailing Address
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Address Line | 10485 NE 6TH ST APT 2420
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City | BELLEVUE
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State | WA
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Zip | 98004-6890
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Country | US
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Telephone | 206-498-3838
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Fax | 604-239-0353
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Authorized Official
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Title or Position | OWNER
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Name | MS. MARIE HAZEL SARAUSAD FLOREZ
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Credential |
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Telephone | 206-498-3838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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