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General NPI Number Information
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NPI Number | 1780174706
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Entity Type | Organization
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Legal Business Name | WEST HILL MEDICAL CLINIC INC
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Dates
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Enumeration Date | 05/15/2018
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Last Update Date | 10/04/2023
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Provider Practice Location Address
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Address Line | 27115 MILITARY RD S
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City | KENT
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State | WA
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Zip | 98032-7009
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Country | US
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Telephone | 253-850-8750
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Fax | 253-850-8464
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Provider Business Mailing Address
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Address Line | 27115 MILITARY RD S
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City | KENT
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State | WA
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Zip | 98032-7009
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Country | US
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Telephone | 253-850-8750
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Fax | 253-850-8464
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT ANTHONY LUGUE YAP
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Credential | ARNP
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Telephone | 253-363-1433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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