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General NPI Number Information
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NPI Number | 1831912658
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Entity Type | Individual
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Provider Name | VICTORIA L CHAMPAGNE RPSGT, CCSH
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Gender | Female
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Dates
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Enumeration Date | 11/01/2024
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 1300 GOLDIE RD
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City | OAK HARBOR
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State | WA
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Zip | 98277-9998
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Country | US
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Telephone | 360-240-4080
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Fax |
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Provider Business Mailing Address
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Address Line | 182 NW 13TH CT
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City | OAK HARBOR
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State | WA
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Zip | 98277-3810
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Country | US
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Telephone | 505-400-8698
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number | 437
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License Number State |
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