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General NPI Number Information
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NPI Number | 1376594093
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Entity Type | Organization
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Legal Business Name | BELLINGHAM FAMILY AND WOMEN'S HEALTH
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 01/08/2021
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Provider Practice Location Address
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Address Line | 1116 KEY ST STE 106
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City | BELLINGHAM
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State | WA
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Zip | 98225-5232
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Country | US
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Telephone | 360-756-9793
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Fax | 360-752-9007
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Provider Business Mailing Address
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Address Line | 1050 LARRABEE AVE STE 204
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City | BELLINGHAM
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State | WA
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Zip | 98225-7367
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Country | US
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Telephone | 360-756-9793
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Fax | 360-752-9007
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. BONNIE LYNN SPRAGUE
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Credential | ARNP
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Telephone | 360-756-9793
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP30001197
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License Number State | WA
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