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General NPI Number Information
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NPI Number | 1093699589
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Entity Type | Organization
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Legal Business Name | HEALING HANDS SPORTS MEDICINE
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 11924 E SPRAGUE AVE
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City | SPOKANE VALLEY
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State | WA
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Zip | 99206-5143
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Country | US
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Telephone | 406-927-7498
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Fax |
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Provider Business Mailing Address
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Address Line | 11924 E SPRAGUE AVE
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City | SPOKANE VALLEY
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State | WA
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Zip | 99206-5143
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MATTHEW POORE
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Credential | ATC
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Telephone | 406-927-7498
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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