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General NPI Number Information
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NPI Number | 1154904092
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Entity Type | Organization
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Legal Business Name | MULTICARE HEALTH SYSTEM
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Dates
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Enumeration Date | 04/29/2021
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 400 E 5TH AVE
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City | SPOKANE
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State | WA
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Zip | 99202-1334
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Country | US
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Telephone | 509-530-5450
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Fax | 509-530-5455
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Provider Business Mailing Address
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Address Line | P.O. BOX 5299 MS: 820-5-PCO
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City | TACOMA
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State | WA
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Zip | 98415-0299
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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 | CEO
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Name | WILLIAM GLENN ROBERTSON
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Credential |
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Telephone | 253-403-1272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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