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General NPI Number Information
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NPI Number | 1083570030
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Entity Type | Organization
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Legal Business Name | LAKE CAVANAUGH WELLNESS
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Dates
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Enumeration Date | 01/02/2026
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 35206 PHIPPS DR
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City | MOUNT VERNON
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State | WA
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Zip | 98274-8223
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Country | US
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Telephone | 360-224-3222
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Fax | 360-873-0306
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Provider Business Mailing Address
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Address Line | 35206 PHIPPS DR
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City | MOUNT VERNON
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State | WA
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Zip | 98274-8223
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Country | US
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Telephone | 360-224-3222
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Fax | 360-873-0306
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Authorized Official
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Title or Position | OWNER/FNP
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Name | SARAH SCHULKE
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Credential | NP
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Telephone | 360-224-3222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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