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General NPI Number Information
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NPI Number | 1699886408
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Entity Type | Organization
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Legal Business Name | CITY OF MUKILTEO
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 01/31/2018
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Provider Practice Location Address
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Address Line | 10400 47TH PL W
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City | MUKILTEO
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State | WA
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Zip | 98275
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Country | US
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Telephone | 425-263-8150
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Fax |
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Provider Business Mailing Address
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Address Line | 10400 47TH PL W
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City | MUKILTEO
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State | WA
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Zip | 98275
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Country | US
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Telephone | 425-263-8150
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Fax | 425-348-7606
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | CHRISTOPHER WETHERBEE ALEXANDER
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Credential |
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Telephone | 425-263-8150
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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 | 31M11
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | AMBV.ES.00000643
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License Number State | WA
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