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General NPI Number Information
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NPI Number | 1962476317
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Entity Type | Organization
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Legal Business Name | CITY OF LYNDEN
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 10/23/2012
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Provider Practice Location Address
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Address Line | 215 4TH ST
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City | LYNDEN
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State | WA
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Zip | 98264-1903
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Country | US
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Telephone | 360-354-4400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 671
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City | LYNDEN
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State | WA
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Zip | 98264-0671
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Country | US
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Telephone | 360-654-4400
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Fax | 360-354-1452
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Authorized Official
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Title or Position | SERVICE MANAGER
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Name | SANDRA D'ALESSANDRO
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Credential |
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Telephone | 360-354-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 37M07
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License Number State | WA
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