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General NPI Number Information
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NPI Number | 1083156194
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Entity Type | Organization
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Legal Business Name | SPOKANE HEALTHCARE, INC.
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Dates
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Enumeration Date | 11/07/2016
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Last Update Date | 03/01/2017
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Provider Practice Location Address
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Address Line | 927 E POLSTON AVE STE 203
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City | POST FALLS
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State | ID
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Zip | 83854-9390
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Country | US
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Telephone | 208-777-2489
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Fax | 208-777-2499
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Provider Business Mailing Address
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Address Line | 927 E POLSTON AVE STE 203
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City | POST FALLS
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State | ID
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Zip | 83854-9390
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Country | US
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Telephone | 208-777-2489
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Fax | 208-777-2499
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | JOHN J. GOCHNOUR
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Credential | ESQ.
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Telephone | 208-401-1365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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