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General NPI Number Information
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NPI Number | 1225057631
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Entity Type | Individual
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Provider Name | DAVID REID TREVARTHEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 06/24/2021
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Provider Practice Location Address
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Address Line | 601 S SHERMAN ST
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City | SPOKANE
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State | WA
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Zip | 99202-1311
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Country | US
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Telephone | 509-228-1000
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Fax | 509-252-9300
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Provider Business Mailing Address
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Address Line | 799 E HAMPDEN AVE SUITE 500
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City | ENGLEWOOD
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State | CO
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Zip | 80113-2700
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Country | US
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Telephone | 303-788-8675
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Fax | 303-761-8031
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 19508
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD61187482
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License Number State | WA
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