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General NPI Number Information
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NPI Number | 1992823595
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Entity Type | Organization
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Legal Business Name | WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 06/10/2016
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Provider Practice Location Address
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Address Line | 11245 STATE ROUTE 525
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City | CLINTON
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State | WA
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Zip | 98236-8638
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Country | US
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Telephone | 360-341-5252
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Fax | 360-341-8727
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Provider Business Mailing Address
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Address Line | PO BOX 3603
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City | SEATTLE
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State | WA
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Zip | 98124-3603
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Country | US
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Telephone | 360-341-5252
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | RONALD TELLES
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Credential |
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Telephone | 360-678-7656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State |
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