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General NPI Number Information
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NPI Number | 1952244691
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Entity Type | Organization
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Legal Business Name | ALTAR AFH LLC
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Dates
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Enumeration Date | 04/09/2026
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Last Update Date | 04/09/2026
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Provider Practice Location Address
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Address Line | 6422 SUMMERWOOD DR E
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City | PUYALLUP
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State | WA
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Zip | 98373-5016
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Country | US
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Telephone | 832-372-3716
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Fax | 253-328-5582
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Provider Business Mailing Address
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Address Line | 6422 SUMMERWOOD DR E
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City | PUYALLUP
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State | WA
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Zip | 98373-5016
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Country | US
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Telephone | 832-372-3716
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Fax | 253-328-5582
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Authorized Official
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Title or Position | PROVIDER
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Name | ANNE WAIGI
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Credential | WAIGI
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Telephone | 832-372-3716
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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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