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NPI 1780591776

NPI 1780591776 : COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY : GRANITE FALLS, WA

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General NPI Number Information
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    NPI Number           |    1780591776
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    Entity Type          |    Organization 
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    Legal Business Name  |    COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY 
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Dates
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    Enumeration Date     |    08/25/2026
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    Last Update Date     |    08/25/2026
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Provider Practice Location Address
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    Address Line         |    1401 100TH ST NE 
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    City                 |    GRANITE FALLS
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    State                |    WA
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    Zip                  |    98252-8643
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    Country              |    US
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    Telephone            |    360-691-7717
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8609 EVERGREEN WAY 
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    City                 |    EVERETT
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    State                |    WA
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    Zip                  |    98208-2619
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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    |    CEO
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    Name                 |     JOE  VESSEY 
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    Credential           |    
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    Telephone            |    425-789-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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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        |    126800000X
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    Taxonomy Name        |    Dental Assistant
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine 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        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    261QS1000X
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    Taxonomy Name        |    Student Health Clinic/Center
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    License Number       |    
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    License Number State |    
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