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General NPI Number Information
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NPI Number | 1073440921
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Entity Type | Organization
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Legal Business Name | INLAND NORTHWEST EXERCISE PHYSIOLOGY AND WEIGHT MANAGEMENT LLC
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 2107 N HOUK RD APT 8
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City | SPOKANE VALLEY
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State | WA
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Zip | 99216-2702
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Country | US
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Telephone | 571-214-5833
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Fax |
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Provider Business Mailing Address
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Address Line | 2107 N HOUK RD APT 8
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City | SPOKANE VALLEY
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State | WA
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Zip | 99216-2702
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Country | US
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Telephone | 571-214-5833
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | ERIC ANZEVINO PITMAN
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Credential | MS, ACSM-CEP
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Telephone | 571-214-5833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Y00000X
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Taxonomy Name | Clinical Exercise Physiologist
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License Number |
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License Number State |
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