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NPI 1710995279

NPI 1710995279 : MAKAH TRIBE : NEAH BAY, WA

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General NPI Number Information
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    NPI Number           |    1710995279
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    Entity Type          |    Organization 
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    Legal Business Name  |    MAKAH TRIBE 
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Dates
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    Enumeration Date     |    08/03/2006
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    Last Update Date     |    10/28/2025
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Provider Practice Location Address
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    Address Line         |    250 FORT STREET 
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    City                 |    NEAH BAY
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    State                |    WA
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    Zip                  |    98357
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    Country              |    US
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    Telephone            |    360-645-2233
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    Fax                  |    360-645-2233
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Provider Business Mailing Address
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    Address Line         |    PO BOX 410 250 FORT STREET
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    City                 |    NEAH BAY
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    State                |    WA
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    Zip                  |    98357-0410
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    Country              |    US
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    Telephone            |    360-645-2233
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    Fax                  |    360-645-2723
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Authorized Official
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    Title or Position    |    COO
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    Name                 |     MICHELLE  HITCHINS 
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    Credential           |    
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    Telephone            |    360-645-2233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332800000X
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    Taxonomy Name        |    Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
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    License Number       |    
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    License Number State |    
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