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General NPI Number Information
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NPI Number | 1972325983
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Entity Type | Organization
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Legal Business Name | CP KING COUNTY WA HH, LLC
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 2811 S 102ND STREET SUITE 220
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City | TUKWILA
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State | WA
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Zip | 98168-1869
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Country | US
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Telephone | 425-525-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 1341 W BATTLEFIELD SUITE 110
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City | SPRINGFIELD
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State | MO
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Zip | 65807
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Country | US
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Telephone | 417-841-4834
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Fax | 866-955-8538
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Authorized Official
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Title or Position | SVP, CHIEF LEGAL OFFICER
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Name | RUSSELL ADKINS
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Credential |
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Telephone | 615-926-0340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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