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General NPI Number Information
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NPI Number | 1982156949
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Entity Type | Organization
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Legal Business Name | AGAPE HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 10/26/2016
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Last Update Date | 01/06/2017
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Provider Practice Location Address
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Address Line | 240 AUBURN WAY S STE 2A
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City | AUBURN
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State | WA
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Zip | 98002-5452
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Country | US
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Telephone | 253-344-0699
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Fax |
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Provider Business Mailing Address
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Address Line | 240 AUBURN WAY S STE 2A
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City | AUBURN
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State | WA
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Zip | 98002-5452
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Country | US
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Telephone | 253-344-0699
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANNE CHEGE
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Credential |
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Telephone | 253-344-0699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN60443952
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License Number State | WA
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