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General NPI Number Information
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NPI Number | 1215259239
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Entity Type | Organization
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Legal Business Name | CITY OF MOUNT VERNON
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Dates
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Enumeration Date | 02/17/2010
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Last Update Date | 07/10/2020
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Provider Practice Location Address
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Address Line | 910 CLEVELAND AVE
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City | MOUNT VERNON
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State | WA
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Zip | 98273-4212
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Country | US
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Telephone | 360-336-6277
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 N LAVENTURE RD
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City | MOUNT VERNON
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State | WA
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Zip | 98273-5804
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Country | US
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Telephone | 360-336-6277
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CHRISTINE ELIZABETH LOVE-JOHNSON
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Credential |
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Telephone | 360-420-7090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 29M07
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License Number State | WA
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