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General NPI Number Information
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NPI Number | 1043241540
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Entity Type | Organization
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Legal Business Name | PUBLIC HOSPITAL DISTRICT NO 1 SKAGIT
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 875 WESLEY ST STE 130
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City | ARLINGTON
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State | WA
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Zip | 98223-1613
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Country | US
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Telephone | 360-435-6525
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Fax | 360-435-2634
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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 | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | HAC.FS.0000106
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | HAC.FS.00000106
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License Number State | WA
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