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General NPI Number Information
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NPI Number | 1689972374
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Entity Type | Organization
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Legal Business Name | FAMILY HEALTH CENTERS
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Dates
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Enumeration Date | 03/04/2011
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Last Update Date | 01/19/2021
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Provider Practice Location Address
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Address Line | 1321 MAIN ST
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City | OROVILLE
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State | WA
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Zip | 98844-9384
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Country | US
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Telephone | 509-476-4400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1340
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City | OKANOGAN
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State | WA
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Zip | 98840-1340
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Country | US
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Telephone | 509-422-5700
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Fax | 509-422-7680
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Authorized Official
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Title or Position | CEO
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Name | JESUS HERNANDEZ
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Credential |
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Telephone | 509-422-5700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number | 600-625-131
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 600-625-131
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License Number State | WA
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