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General NPI Number Information
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NPI Number | 1134597693
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Entity Type | Organization
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Legal Business Name | GRAYS HARBOR COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 09/14/2015
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Last Update Date | 06/05/2018
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Provider Practice Location Address
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Address Line | 815 K ST
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City | HOQUIAM
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State | WA
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Zip | 98550
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Country | US
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Telephone | 360-533-2734
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Fax |
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Provider Business Mailing Address
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Address Line | 915 ANDERSON DR
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City | ABERDEEN
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State | WA
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Zip | 98520-1006
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR REVENUE CYLCLE
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Name | ANTONE J EEK
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Credential |
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Telephone | 360-581-5495
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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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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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