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General NPI Number Information
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NPI Number | 1972606333
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Entity Type | Organization
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Legal Business Name | SEA MAR COMMUNITY HEALTH CENTERS
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 7438 S D AVE STE C
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City | CONCRETE
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State | WA
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Zip | 98237-9642
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Country | US
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Telephone | 360-853-8109
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Fax | 360-853-8350
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Provider Business Mailing Address
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Address Line | 1040 S HENDERSON ST
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City | SEATTLE
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State | WA
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Zip | 98108-4720
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Country | US
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Telephone | 206-788-3220
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Fax | 206-788-3225
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | MS. MARY BARTOLO
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHAR.CF.60506149
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License Number State | WA
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