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General NPI Number Information
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NPI Number | 1811878085
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Entity Type | Organization
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Legal Business Name | SUQUAMISH TRIBAL
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 9750 LEVIN RD NW
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City | SILVERDALE
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State | WA
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Zip | 98383-8399
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Country | US
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Telephone | 360-698-3437
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Fax | 360-698-6600
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Provider Business Mailing Address
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Address Line | PO BOX 1228
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City | SUQUAMISH
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State | WA
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Zip | 98392-1228
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Country | US
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Telephone | 360-394-5200
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Fax | 360-598-1724
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Authorized Official
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Title or Position | HEALTH DIRECTOR
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Name | STEPHEN HENRY KUTZ
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Credential | RN
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Telephone | 360-394-8552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care 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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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