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General NPI Number Information
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NPI Number | 1740089549
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH OF CENTRAL WASHINGTON
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Dates
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Enumeration Date | 03/12/2025
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 402 S 12TH AVE
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City | YAKIMA
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State | WA
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Zip | 98902-3115
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Country | US
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Telephone | 509-575-0114
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Fax | 509-575-0808
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Provider Business Mailing Address
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Address Line | 501 S 5TH AVE
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City | YAKIMA
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State | WA
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Zip | 98902-3550
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Country | US
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Telephone | 509-853-1082
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Fax | 509-573-6275
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | ANGELA GONZALEZ
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Credential |
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Telephone | 509-494-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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