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General NPI Number Information
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NPI Number | 1881883775
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Entity Type | Organization
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Legal Business Name | BELLINGHAM FAMILY MEDICINE, PLLC
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Dates
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Enumeration Date | 10/17/2007
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Last Update Date | 10/26/2007
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Provider Practice Location Address
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Address Line | 12 BELLWETHER WAY #222
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City | BELLINGHAM
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State | WA
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Zip | 98225
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Country | US
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Telephone | 360-738-7988
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Fax | 360-738-4072
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Provider Business Mailing Address
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Address Line | PO BOX 2536
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City | BELLINGHAM
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State | WA
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Zip | 98227-2536
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Country | US
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Telephone | 360-738-7988
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Fax | 360-738-4072
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Authorized Official
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Title or Position | OWNER PHYSICIAN
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Name | DR. JOHN STEVEN NUETZMANN
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Credential | DO
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Telephone | 360-738-7988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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