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NPI 1225994973

NPI 1225994973 : VIXEN COPE : MOUNT VERNON, WA

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General NPI Number Information
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    NPI Number           |    1225994973
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    Entity Type          |    Individual 
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    Provider Name        |    VIXEN COPE
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    Gender               |     
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Dates
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    Enumeration Date     |    12/26/2025
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    Last Update Date     |    12/26/2025
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Provider Practice Location Address
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    Address Line         |    300 S 14TH ST 
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    City                 |    MOUNT VERNON
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    State                |    WA
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    Zip                  |    98274
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    Country              |    US
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    Telephone            |    360-424-4111
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4083 GLORIA LN 
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    City                 |    BELLINGHAM
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    State                |    WA
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    Zip                  |    98226-1733
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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    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    PH61654380
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    License Number State |    WA
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