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General NPI Number Information
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NPI Number | 1477548253
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Entity Type | Organization
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Legal Business Name | CITY OF KENNEWICK
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Dates
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Enumeration Date | 09/16/2005
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Last Update Date | 11/07/2012
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Provider Practice Location Address
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Address Line | 210 W 6TH AVE
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City | KENNEWICK
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State | WA
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Zip | 99336-5649
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Country | US
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Telephone | 509-585-4379
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Fax | 505-585-4254
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Provider Business Mailing Address
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Address Line | PO BOX 6108 210 W 6TH AVE
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City | KENNEWICK
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State | WA
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Zip | 99336-5649
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Country | US
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Telephone | 509-585-4379
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Fax | 509-585-4254
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Authorized Official
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Title or Position | ACCOUNTING SUPERVISOR
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Name | MS. LYNNE C BROWN
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Credential |
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Telephone | 509-585-4263
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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 | 03M02
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 03M02
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License Number State | WA
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