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General NPI Number Information
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NPI Number | 1336129295
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Entity Type | Organization
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Legal Business Name | UPPER SKAGIT INDIAN TRIBE
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Dates
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Enumeration Date | 01/18/2006
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 25959 COMMUNITY PLAZA WAY
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City | SEDRO WOOLLEY
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State | WA
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Zip | 98284-9721
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Country | US
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Telephone | 360-854-7070
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Fax | 360-854-7060
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Provider Business Mailing Address
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Address Line | 25944 COMMUNITY PLAZA WAY
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City | SEDRO WOOLLEY
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State | WA
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Zip | 98284-9721
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Country | US
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Telephone | 360-854-7070
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Fax | 360-854-7060
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Authorized Official
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Title or Position | TRIBAL VICE-CHAIRMAN
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Name | MS. MARILYN M SCOTT
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Credential |
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Telephone | 360-854-7039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DI00001414
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | LP00022558
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD00012663
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | MD00012663
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP30006120
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License Number State | WA
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Taxonomy #6
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | RC00047287
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License Number State | WA
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Taxonomy #7
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CP00001654
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License Number State | WA
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Taxonomy #8
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | ;H00008445
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License Number State | WA
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Taxonomy #9
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State | WA
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