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General NPI Number Information
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NPI Number | 1326262452
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Entity Type | Organization
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Legal Business Name | WESTERN WASHINGTON UNIVERSITY STUDENT HEALTH CENTER
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 516 HIGH ST MS 9132
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City | BELLINGHAM
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State | WA
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Zip | 98225-5946
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Country | US
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Telephone | 360-650-3400
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Fax | 360-650-3883
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Provider Business Mailing Address
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Address Line | 516 HIGH ST MS 9132
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City | BELLINGHAM
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State | WA
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Zip | 98225-5946
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Country | US
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Telephone | 360-650-3400
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Fax | 360-650-3883
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Authorized Official
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Title or Position | DIRECTOR
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Name | CHRISTINE HANCOCK
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Credential | MD
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Telephone | 360-650-2237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult 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 | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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License Number |
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License Number State | WA
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