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General NPI Number Information
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NPI Number | 1730016791
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Entity Type | Organization
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Legal Business Name | XWIALQEN TOKW
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 2694 KWINA RD
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City | BELLINGHAM
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State | WA
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Zip | 98226-9291
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Country | US
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Telephone | 360-312-2443
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Fax |
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Provider Business Mailing Address
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Address Line | 2694 KWINA RD
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City | BELLINGHAM
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State | WA
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Zip | 98226-9291
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LCS OFFICE MANAGER
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Name | LORI AURIEMMA
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Credential |
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Telephone | 360-312-2443
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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 |
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License Number State |
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