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General NPI Number Information
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NPI Number | 1104849058
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Entity Type | Organization
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Legal Business Name | ADAMS COUNTY HOSPITAL 2
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 545 SE CHURCH STREET
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City | WASHTUCNA
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State | WA
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Zip | 99371
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Country | US
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Telephone | 509-646-3290
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Fax |
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Provider Business Mailing Address
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Address Line | 903 S ADAMS ST
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City | RITZVILLE
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State | WA
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Zip | 99169-2227
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Country | US
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Telephone | 509-646-3290
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING
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Name | TAMRA COMBS
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Credential |
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Telephone | 509-659-1200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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