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General NPI Number Information
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NPI Number | 1063692747
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Entity Type | Organization
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Legal Business Name | DONALD F. CONDON, M.D.
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Dates
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Enumeration Date | 11/09/2007
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Last Update Date | 10/29/2008
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Provider Practice Location Address
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Address Line | 9631 N NEVADA ST STE 202
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City | SPOKANE
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State | WA
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Zip | 99218-1133
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Country | US
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Telephone | 509-467-1100
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Fax | 509-468-0173
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Provider Business Mailing Address
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Address Line | 9631 N NEVADA ST STE 202
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City | SPOKANE
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State | WA
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Zip | 99218-1133
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Country | US
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Telephone | 509-467-1100
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Fax | 509-468-0173
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KEN REHFELD
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Credential |
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Telephone | 509-467-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | MD00016998
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License Number State | WA
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