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General NPI Number Information
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NPI Number | 1083830848
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Entity Type | Individual
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Provider Name | MARK L CHALEM MD
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Gender | Male
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 11/05/2021
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Provider Practice Location Address
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Address Line | 3515 S LLOYD RD
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City | SPOKANE
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State | WA
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Zip | 99223-1163
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Country | US
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Telephone | 509-319-9599
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Fax | 509-315-8807
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Provider Business Mailing Address
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Address Line | PO BOX 31120
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City | SPOKANE
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State | WA
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Zip | 99223-3018
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Country | US
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Telephone | 509-319-9599
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Fax | 509-315-8807
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD00017775
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License Number State | WA
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