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General NPI Number Information
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NPI Number | 1942494133
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Entity Type | Organization
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Legal Business Name | SEA-MAR COMMUNITY HEALTH CENTER
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Dates
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Enumeration Date | 08/30/2007
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Last Update Date | 08/30/2007
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Provider Practice Location Address
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Address Line | 8801 14TH AVE S
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City | SEATTLE
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State | WA
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Zip | 98108-4809
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Country | US
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Telephone | 206-764-0491
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Fax |
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Provider Business Mailing Address
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Address Line | 4455 CORDATA PKWY
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City | BELLINGHAM
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State | WA
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Zip | 98226-8037
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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 | CEO
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Name | MR. ROGELIO RIOJAS
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Credential |
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Telephone | 206-763-5277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 6 H80CS00 455-05-03
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number | 6 H80CS00 455-05-03
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License Number State | WA
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