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General NPI Number Information
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NPI Number | 1578547022
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Entity Type | Organization
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Legal Business Name | WHATCOM MEDIC ONE
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Dates
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Enumeration Date | 11/29/2005
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 1800 BROADWAY
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City | BELLINGHAM
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State | WA
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Zip | 98225-3133
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Country | US
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Telephone | 360-778-8400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 35176
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City | SEATTLE
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State | WA
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Zip | 98124-5176
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Country | US
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Telephone | 360-778-8400
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE SERVICES MANAGER
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Name | KRISTINE MILLER
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Credential |
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Telephone | 360-778-8400
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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 | 37M01
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License Number State | WA
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