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General NPI Number Information
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NPI Number | 1073719167
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Entity Type | Organization
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Legal Business Name | SKAGIT CLINICAL CONSULTANTS INC
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 11/14/2008
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Provider Practice Location Address
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Address Line | 208 S 14TH ST
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City | MOUNT VERNON
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State | WA
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Zip | 98274-4117
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Country | US
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Telephone | 360-424-2600
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Fax | 360-416-8390
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Provider Business Mailing Address
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Address Line | 2014 29TH PL
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City | ANACORTES
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State | WA
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Zip | 98221-3870
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Country | US
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Telephone | 360-202-3410
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Fax | 360-588-1902
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Authorized Official
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Title or Position | PRESIDENT
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Name | CATHY L SCHAEFFER
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Credential | ARNP
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Telephone | 360-202-3410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | AP30002152
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License Number State | WA
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