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General NPI Number Information
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NPI Number | 1275716748
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Entity Type | Organization
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Legal Business Name | NORTHPOINTE FAMILY MEDICINE PLLC
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Dates
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Enumeration Date | 12/07/2007
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Last Update Date | 12/07/2007
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Provider Practice Location Address
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Address Line | 9631 N NEVADA ST SUITE 304
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City | SPOKANE
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State | WA
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Zip | 99218-1133
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Country | US
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Telephone | 509-466-1271
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Fax |
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Provider Business Mailing Address
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Address Line | 9631 N NEVADA ST SUITE 304
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City | SPOKANE
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State | WA
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Zip | 99218-1133
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Country | US
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Telephone | 509-466-1271
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Fax |
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MS. COLLETTE ANTOINETTE BLAIR
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Credential |
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Telephone | 509-466-1271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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