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NPI 1306736558

NPI 1306736558 : WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT : MOUNTAIN VIEW, CA

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General NPI Number Information
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    NPI Number           |    1306736558
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    Entity Type          |    Organization 
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    Legal Business Name  |    WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT 
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Dates
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    Enumeration Date     |    07/08/2025
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    Last Update Date     |    07/08/2025
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Provider Practice Location Address
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    Address Line         |    104 HACIENDA LN 
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    City                 |    MOUNTAIN VIEW
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    State                |    CA
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    Zip                  |    94040-6204
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    Country              |    US
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    Telephone            |    360-678-5151
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 3603 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98124-3603
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    Country              |    US
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    Telephone            |    360-678-7656
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    Fax                  |    866-442-8884
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Authorized Official
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    Title or Position    |    COO
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    Name                 |     GARTH A MILLER 
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    Credential           |    MD
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    Telephone            |    360-678-7656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    
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    License Number State |    
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