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General NPI Number Information
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NPI Number | 1538503040
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Entity Type | Organization
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Legal Business Name | BARBARA SIMONS PA-C
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Dates
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Enumeration Date | 04/26/2013
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Last Update Date | 04/26/2013
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Provider Practice Location Address
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Address Line | 1660 LAYTON RD
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City | FREELAND
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State | WA
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Zip | 98249-9456
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Country | US
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Telephone | 360-331-6535
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Fax | 360-331-6545
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Provider Business Mailing Address
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Address Line | PO BOX 543
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City | LANGLEY
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State | WA
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Zip | 98260-0543
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Country | US
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Telephone | 360-331-6535
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Fax | 360-331-6545
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Authorized Official
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Title or Position | CO-OWNER/OFFICE MANAGER
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Name | CHRISTINA CARPENTER
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Credential |
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Telephone | 360-331-6535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | PA10005078
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License Number State | WA
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