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General NPI Number Information
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NPI Number | 1013178136
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Entity Type | Organization
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Legal Business Name | MUKILTEO APARTMENTS LLC
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Dates
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Enumeration Date | 06/20/2008
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 10200 HARBOUR PL
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City | MUKILTEO
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State | WA
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Zip | 98275-4733
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Country | US
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Telephone | 425-493-8555
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Fax | 425-493-0279
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Provider Business Mailing Address
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Address Line | 10200 HARBOUR PL
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City | MUKILTEO
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State | WA
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Zip | 98275-4733
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Country | US
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Telephone | 425-493-8555
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Fax | 425-493-0279
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. ANN ELIZABETH STRUTHERS
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Credential |
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Telephone | 425-493-8555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | BH1433
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License Number State | WA
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