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General NPI Number Information
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NPI Number | 1265575088
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Entity Type | Individual
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Provider Name | ELIZABETH A PECHOUS PHD
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Gender | Female
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 07/01/2008
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Provider Practice Location Address
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Address Line | 701 W 7TH AVE SUITE 130
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City | SPOKANE
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State | WA
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Zip | 99204-2843
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Country | US
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Telephone | 509-869-3809
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Fax | 509-838-1163
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Provider Business Mailing Address
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Address Line | 701 W 7TH AVE SUITE 130
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City | SPOKANE
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State | WA
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Zip | 99204-2843
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Country | US
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Telephone | 509-869-3809
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Fax | 509-838-1163
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY00002566
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License Number State | WA
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