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General NPI Number Information
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NPI Number | 1679587018
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Entity Type | Organization
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Legal Business Name | CASCADE MOBILE CARE, PLLC
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2728 ALVARADO DR
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City | BELLINGHAM
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State | WA
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Zip | 98229-2306
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Country | US
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Telephone | 360-738-7040
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Fax | 360-734-3146
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Provider Business Mailing Address
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Address Line | 2728 ALVARADO DR
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City | BELLINGHAM
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State | WA
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Zip | 98229-2306
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Country | US
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Telephone | 360-738-7040
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Fax | 360-734-3146
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | AARON GREGORY MISIUK
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Credential | AP30006650
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Telephone | 360-738-7040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP30006650
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License Number State | WA
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