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General NPI Number Information
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NPI Number | 1306288170
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Entity Type | Organization
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Legal Business Name | ORTHOPAEDIC NEUROLOGIC EVALUATIONS
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Dates
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Enumeration Date | 07/22/2013
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Last Update Date | 07/22/2013
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Provider Practice Location Address
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Address Line | 8506 N WALL ST
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City | SPOKANE
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State | WA
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Zip | 99208-6164
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Country | US
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Telephone | 509-484-0380
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Fax | 509-484-0481
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Provider Business Mailing Address
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Address Line | 8506 N WALL ST
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City | SPOKANE
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State | WA
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Zip | 99208-6164
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Country | US
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Telephone | 509-484-0380
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Fax | 509-484-0481
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. STEPHEN R SEARS
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Credential | M.D.
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Telephone | 509-484-0380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 601818066
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License Number State | WA
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