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General NPI Number Information
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NPI Number | 1225946114
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Entity Type | Organization
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Legal Business Name | EMBER NORTH BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 08/31/2026
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Last Update Date | 08/31/2026
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Provider Practice Location Address
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Address Line | 421 W RIVERSIDE AVE STE 1015
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City | SPOKANE
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State | WA
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Zip | 99201-0402
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Country | US
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Telephone | 509-903-6649
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Fax | 509-960-5926
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Provider Business Mailing Address
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Address Line | 421 W RIVERSIDE AVE STE 1015
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City | SPOKANE
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State | WA
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Zip | 99201-0402
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Country | US
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Telephone | 509-903-6649
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Fax | 509-960-5926
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Authorized Official
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Title or Position | OWNER
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Name | AUDREY GRIMM
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Credential | PMHNP-BC
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Telephone | 208-797-6262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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