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General NPI Number Information
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NPI Number | 1922184944
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Entity Type | Organization
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Legal Business Name | US COAST GUARD
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1519 ALASKAN WAY SOUTH USCGC MELLON (WHEC 717)
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City | SEATTLE
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State | WA
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Zip | 98134
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Country | US
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Telephone | 206-217-6290
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Fax |
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Provider Business Mailing Address
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Address Line | 1519 ALASKAN WAY SOUTH USCGC MELLON (WHEC 717)
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City | SEATTLE
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State | WA
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Zip | 98134
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | HEALTH SERVICES TECHNICIAN
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Name | ERIC F HAMMERMEISTER
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Credential |
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Telephone | 206-217-6290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State | WA
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