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General NPI Number Information
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NPI Number | 1205060134
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Entity Type | Individual
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Provider Name | TARA-WILLOW FERREN JAMES M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/06/2009
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 3754 W INDIAN TRAIL RD
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City | SPOKANE
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State | WA
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Zip | 99208-4700
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Country | US
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Telephone | 509-559-3100
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Fax | 509-588-7437
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Provider Business Mailing Address
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Address Line | 3754 W INDIAN TRAIL RD
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City | SPOKANE
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State | WA
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Zip | 99208-4700
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Country | US
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Telephone | 509-559-3100
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Fax | 509-588-7437
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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 | MD60545175
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MD60545175
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License Number State | WA
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