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General NPI Number Information
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NPI Number | 1083812689
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Entity Type | Organization
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Legal Business Name | COLUMBIA VALLEY COMMUNITY HEALTH
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 04/19/2023
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Provider Practice Location Address
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Address Line | 600 ORONDO AVE STE 1
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City | WENATCHEE
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State | WA
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Zip | 98801-2800
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Country | US
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Telephone | 509-662-3860
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Fax | 509-664-4585
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Provider Business Mailing Address
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Address Line | 600 ORONDO AVE STE 1
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City | WENATCHEE
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State | WA
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Zip | 98801-2800
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Country | US
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Telephone | 509-662-6000
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Fax | 509-664-4590
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Authorized Official
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Title or Position | CEO
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Name | MANUEL NAVARRO
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Credential |
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Telephone | 509-662-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 601-108-231
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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