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General NPI Number Information
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NPI Number | 1427278001
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Entity Type | Organization
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Legal Business Name | AUBURN FAMILY MEDICAL CENTER, INC., P.S.
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 04/22/2008
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Provider Practice Location Address
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Address Line | 202 N DIVISION ST # 2 STE 405
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City | AUBURN
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State | WA
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Zip | 98001-4939
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Country | US
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Telephone | 253-939-3604
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Fax | 253-735-4167
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Provider Business Mailing Address
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Address Line | 202 NO DIVISION ST, PLAZA 2 STE 405
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City | AUBURN
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State | WA
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Zip | 98001-4939
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Country | US
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Telephone | 253-939-3604
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Fax | 253-735-4167
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. PEGGY DAWN THURSTON
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Credential | ADMINISTRATOR
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Telephone | 25393936043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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