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General NPI Number Information
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NPI Number | 1508660879
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Entity Type | Organization
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Legal Business Name | DAVID C WYNECOOP MEMORIAL HEALTH CENTER
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Dates
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Enumeration Date | 04/03/2025
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 6203 AGENCY LOOP ROAD
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City | WELLPINIT
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State | WA
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Zip | 99040
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Country | US
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Telephone | 509-258-4517
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Fax | 509-258-7152
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Provider Business Mailing Address
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Address Line | PO BOX 357
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City | WELLPINIT
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State | WA
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Zip | 99040-0357
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Country | US
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Telephone | 509-258-4517
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Fax | 509-258-7152
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Authorized Official
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Title or Position | CEO
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Name | CAROLE VELOSO
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Credential |
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Telephone | 509-258-4517
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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