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General NPI Number Information
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NPI Number | 1770645574
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Entity Type | Organization
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Legal Business Name | LUMMI NATION HEALTH CENTER PURCHASED & REFERRED CARE (PRC)
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 2592 KWINA RD
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City | BELLINGHAM
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State | WA
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Zip | 98226-9278
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Country | US
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Telephone | 360-384-0464
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Fax | 360-384-2336
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Provider Business Mailing Address
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Address Line | 2530 KWINA RD
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City | BELLINGHAM
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State | WA
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Zip | 98226-9278
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Country | US
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Telephone | 360-384-2373
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Fax | 360-384-3218
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Authorized Official
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Title or Position | HEALTHCARE BUSINESS OFFICE DIRECTOR
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Name | STEPHANIE WILLIAMS
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Credential |
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Telephone | 360-312-2285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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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 | 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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