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General NPI Number Information
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NPI Number | 1457414799
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Entity Type | Organization
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Legal Business Name | GRANT CO PUBLIC HOSPITAL DISTRICT 3
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 12/07/2016
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Provider Practice Location Address
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Address Line | 220 NAT WASHINGTON WAY
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City | EPHRATA
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State | WA
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Zip | 98823-1982
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Country | US
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Telephone | 509-754-3330
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Fax | 509-754-2351
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Provider Business Mailing Address
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Address Line | 220 NAT WASHINGTON WAY
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City | EPHRATA
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State | WA
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Zip | 98823-1982
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Country | US
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Telephone | 509-754-3330
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Fax | 509-754-2351
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Authorized Official
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Title or Position | EXECUTIVE ASSISTANT
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Name | ROSALINDA KIBBY
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Credential | CPCS
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Telephone | 509-754-4631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State | WA
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