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General NPI Number Information
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NPI Number | 1013064575
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Entity Type | Organization
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Legal Business Name | PUBLIC HOSPITAL DIST NO 1 SKAGIT
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 1190 RIDDLE STREET
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City | DARRINGTON
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State | WA
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Zip | 98241
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Country | US
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Telephone | 360-436-1055
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Fax | 360-436-0146
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Provider Business Mailing Address
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Address Line | PO BOX 103510
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City | PASADENA
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State | CA
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Zip | 91189-3570
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Country | US
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Telephone | 360-814-7575
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Fax | 360-445-8592
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | TAMARA CESENA
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Credential |
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Telephone | 360-445-8512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | MTSP.FS.00001468
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License Number State | WA
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