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General NPI Number Information
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NPI Number | 1952230997
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Entity Type | Organization
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Legal Business Name | AGAPE EXPERIENCE CARE
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Dates
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Enumeration Date | 05/15/2026
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Last Update Date | 05/15/2026
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Provider Practice Location Address
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Address Line | 3403 M PL SE APT A
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City | AUBURN
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State | WA
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Zip | 98002-8720
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Country | US
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Telephone | 206-688-7823
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Fax | 253-313-9736
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Provider Business Mailing Address
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Address Line | 3403 M PL SE APT A
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City | AUBURN
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State | WA
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Zip | 98002-8720
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Country | US
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Telephone | 206-688-7823
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Fax | 253-313-9736
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Authorized Official
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Title or Position | OWNER
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Name | TYSON IBRAHIM JACOB
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Credential |
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Telephone | 206-688-7823
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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 |
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License Number State |
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