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General NPI Number Information
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NPI Number | 1356340624
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Entity Type | Organization
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Legal Business Name | CITY OF SUNNYSIDE
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 04/27/2023
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Provider Practice Location Address
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Address Line | 513 S 8TH ST
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City | SUNNYSIDE
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State | WA
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Zip | 98944
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Country | US
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Telephone | 509-837-3999
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Fax | 509-836-6419
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Provider Business Mailing Address
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Address Line | 513 S 8TH ST
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City | SUNNYSIDE
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State | WA
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Zip | 98944-2275
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Country | US
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Telephone | 509-837-3999
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Fax | 509-836-6419
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Authorized Official
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Title or Position | FINANCE AND ADMIN SERVICES DIRECTOR
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Name | MRS. JAMISON K HORNER
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Credential | CPC/CMA/HCA
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Telephone | 509-836-6392
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 39M06
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License Number State | WA
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