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General NPI Number Information
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NPI Number | 1205064698
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Entity Type | Organization
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Legal Business Name | AUDIOLOGY NORTHWEST, P.S.
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Dates
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Enumeration Date | 06/24/2009
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Last Update Date | 03/16/2021
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Provider Practice Location Address
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Address Line | 203 N EVERGREEN RD
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City | SPOKANE VALLEY
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State | WA
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Zip | 99216-0820
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Country | US
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Telephone | 509-994-4395
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Fax | 509-207-7118
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Provider Business Mailing Address
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Address Line | 203 N EVERGREEN RD
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City | SPOKANE VALLEY
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State | WA
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Zip | 99216-0820
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Country | US
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Telephone | 509-994-4395
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Fax | 509-207-7118
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JONELL MARIE BLOCK
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Credential | AUD
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Telephone | 509-994-4395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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