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General NPI Number Information
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NPI Number | 1316061765
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Entity Type | Organization
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Legal Business Name | PUBLIC HOSPITAL DIST NO 1 SKAGIT
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 875 WESLEY ST STE 160
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City | ARLINGTON
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State | WA
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Zip | 98223-1650
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Country | US
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Telephone | 360-435-6969
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Fax | 360-435-1068
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Provider Business Mailing Address
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Address Line | PO BOX 103510
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City | PASADENA
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State | CA
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Zip | 91189-3510
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Country | US
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Telephone | 360-814-6451
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Fax | 360-445-8592
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Authorized Official
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Title or Position | VP OF OPERATIONS
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Name | JOLANDA M BARNETT
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Credential |
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Telephone | 360-435-2133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | ASF.FS.60651816
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License Number State | WA
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