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General NPI Number Information
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NPI Number | 1235694613
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Entity Type | Organization
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Legal Business Name | SPENCER FAMILY INVESTMENTS
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Dates
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Enumeration Date | 02/09/2019
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Last Update Date | 02/09/2019
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Provider Practice Location Address
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Address Line | 9514 E MONTGOMERY AVE
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City | SPOKANE VALLEY
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State | WA
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Zip | 99206-4140
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Country | US
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Telephone | 509-863-2899
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Fax |
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Provider Business Mailing Address
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Address Line | 9606 N GABRIEL ST
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City | SPOKANE
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State | WA
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Zip | 99208-6786
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Country | US
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Telephone | 509-863-2899
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | LEE SPENCER
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Credential |
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Telephone | 509-863-2899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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