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General NPI Number Information
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NPI Number | 1841225208
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Entity Type | Organization
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Legal Business Name | COUNTY OF JEFFERSON
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 615 SHERIDAN ST
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City | PORT TOWNSEND
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State | WA
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Zip | 98368-2439
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Country | US
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Telephone | 360-385-9400
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Fax | 360-385-9401
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Provider Business Mailing Address
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Address Line | 615 SHERIDAN ST
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City | PORT TOWNSEND
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State | WA
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Zip | 98368-2439
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Country | US
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Telephone | 360-385-9400
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Fax | 360-385-9401
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Authorized Official
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Title or Position | DIRECTOR
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Name | JEAN M BALDWIN
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Credential | A.R.N.P.
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Telephone | 360-385-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SC1501X
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Taxonomy Name | Community Health/Public Health Clinical Nurse Specialist
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License Number |
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License Number State | WA
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