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General NPI Number Information
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NPI Number | 1457588386
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Entity Type | Organization
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Legal Business Name | PUBLIC HOSPITAL DIST NO 1 SKAGIT
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Dates
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Enumeration Date | 06/18/2009
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Last Update Date | 03/30/2016
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Provider Practice Location Address
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Address Line | 1415 E KINCAID ST
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City | MOUNT VERNON
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State | WA
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Zip | 98274-4126
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Country | US
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Telephone | 360-424-2511
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Fax | 360-424-2522
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Provider Business Mailing Address
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Address Line | 1415 E KINCAID ST
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City | MOUNT VERNON
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State | WA
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Zip | 98274-4126
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Country | US
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Telephone | 360-424-2511
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Fax | 360-424-2522
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Authorized Official
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Title or Position | CFO
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Name | MR. THOMAS C LITAKER
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Credential |
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Telephone | 360-814-8346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | HAC.FS.00000207
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License Number State | WA
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