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General NPI Number Information
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NPI Number | 1730371204
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Entity Type | Organization
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Legal Business Name | KLICKITAT COUNTY
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Dates
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Enumeration Date | 08/17/2007
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Last Update Date | 02/02/2024
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Provider Practice Location Address
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Address Line | 115 W COURT ST ROOM# 103
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City | GOLDENDALE
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State | WA
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Zip | 98620-8905
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Country | US
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Telephone | 509-773-4565
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Fax | 509-773-5991
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Provider Business Mailing Address
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Address Line | 115 W COURT ST MS-CH - BOX# 103
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City | GOLDENDALE
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State | WA
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Zip | 98620-8905
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Country | US
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Telephone | 509-773-4565
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Fax | 509-773-5991
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Authorized Official
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Title or Position | DIRECTOR - HEALTH DEPARTMENT & BH
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Name | ERINN QUINN
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Credential | RN
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Telephone | 509-773-2366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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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 | 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 #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 261QA0005X
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Taxonomy Name | Ambulatory Family Planning Facility
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License Number |
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License Number State |
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