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General NPI Number Information
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NPI Number | 1952921124
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Entity Type | Organization
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Legal Business Name | EMPRES AT SEATTLE, LLC
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Dates
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Enumeration Date | 04/17/2020
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Last Update Date | 01/20/2021
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Provider Practice Location Address
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Address Line | 2611 S DEARBORN ST
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City | SEATTLE
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State | WA
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Zip | 98144-3013
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Country | US
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Telephone | 360-892-6628
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Fax | 360-882-5793
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Provider Business Mailing Address
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Address Line | 4601 NE 77TH AVE # SUIE300
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City | VANCOUVER
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State | WA
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Zip | 98662-6729
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Country | US
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Telephone | 360-892-6628
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Fax | 360-882-5789
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Authorized Official
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Title or Position | CEO AND ASSISTANT MANAGER
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Name | MICHAEL J. MILLER
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Credential |
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Telephone | 360-892-6628
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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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