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NPI 1003247214

NPI 1003247214 : HUMMEL WOMEN'S HEALTH : EDMONDS, WA

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General NPI Number Information
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    NPI Number           |    1003247214
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    Entity Type          |    Organization 
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    Legal Business Name  |    HUMMEL WOMEN'S HEALTH 
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Dates
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    Enumeration Date     |    12/13/2013
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    Last Update Date     |    03/29/2022
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Provider Practice Location Address
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    Address Line         |    555 DAYTON ST STE A3 
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    City                 |    EDMONDS
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    State                |    WA
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    Zip                  |    98020-3647
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    Country              |    US
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    Telephone            |    425-670-3710
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    Fax                  |    425-670-3711
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Provider Business Mailing Address
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    Address Line         |    555 DAYTON ST STE A3 
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    City                 |    EDMONDS
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    State                |    WA
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    Zip                  |    98020-3647
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    Country              |    US
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    Telephone            |    425-670-3710
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    Fax                  |    425-670-3711
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Authorized Official
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    Title or Position    |    AUTHORIZED OFFICIAL
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    Name                 |     CATHY R SCHROEDER 
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    Credential           |    
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    Telephone            |    425-670-3710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM2500X
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    Taxonomy Name        |    Medical Specialty Clinic/Center
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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        |    363LW0102X
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    Taxonomy Name        |    Women's Health Nurse Practitioner
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    License Number       |    AP30003284
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    License Number State |    WA
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