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General NPI Number Information
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NPI Number | 1700811635
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Entity Type | Organization
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Legal Business Name | CLARK COUNTY CURRENT EXPENSE
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 11/24/2021
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Provider Practice Location Address
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Address Line | 1601 E FOURTH PLAIN BLVD BLDG 17 3RD FLOOR SUITE A338
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City | VANCOUVER
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State | WA
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Zip | 98661-3713
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Country | US
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Telephone | 360-397-8000
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Fax | 360-397-8110
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Provider Business Mailing Address
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Address Line | PO BOX 5000
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City | VANCOUVER
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State | WA
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Zip | 98666-5000
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Country | US
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Telephone | 360-397-8000
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Fax | 360-397-8110
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Authorized Official
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Title or Position | MANAGEMENT ANALYST
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Name | JOSH GOSSAGE
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Credential |
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Telephone | 564-397-8102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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