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General NPI Number Information
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NPI Number | 1912900234
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Entity Type | Organization
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Legal Business Name | FAMILY CARE NETWORK PLLC
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 2116 E. SECTION ST.
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City | MOUNT VERNON
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State | WA
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Zip | 98274
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Country | US
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Telephone | 360-428-1700
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Fax | 360-848-4312
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Provider Business Mailing Address
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Address Line | 709 W. ORCHARD STE. 4
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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 | 360-318-8800
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Fax | 360-318-1085
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Authorized Official
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Title or Position | CEO
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Name | RODNEY J ANDERSON
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Credential | MD
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Telephone | 360-318-8800
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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 | 602079976
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License Number State | WA
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