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General NPI Number Information
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NPI Number | 1821218876
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH CENTERS OF KING COUNTY
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 955 POWELL AVE SW SUITE A
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City | RENTON
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State | WA
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Zip | 98055-2908
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Country | US
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Telephone | 425-277-1311
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Fax | 425-277-1566
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Provider Business Mailing Address
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Address Line | 403 E MEEKER ST SUITE 300
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City | KENT
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State | WA
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Zip | 98030-5904
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Country | US
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Telephone | 253-372-3661
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Fax | 253-372-3663
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | THOMAS TROMPETER
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Credential |
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Telephone | 425-277-1311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | CF00059025
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License Number State | WA
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