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General NPI Number Information
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NPI Number | 1124183108
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Entity Type | Individual
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Provider Name | JOHN VERN BILLINGS ARNP
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Gender | Male
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5901 N LIDGERWOOD ST SUITE 215
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City | SPOKANE
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State | WA
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Zip | 99208-5095
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Country | US
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Telephone | 509-456-5733
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Fax | 509-327-5191
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Provider Business Mailing Address
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Address Line | 6734 N SUTHERLIN ST
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City | SPOKANE
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State | WA
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Zip | 99208-5048
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Country | US
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Telephone | 509-456-5733
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Fax | 509-327-5191
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | AP30004240
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License Number State | WA
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