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General NPI Number Information
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NPI Number | 1326088378
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Entity Type | Individual
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Provider Name | RALAND A. JOHN CP, LPO
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Gender | Male
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 05/13/2016
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Provider Practice Location Address
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Address Line | 212 CENTRAL AVE SUITE 215 HANGER CLINIC
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City | SPOKANE
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State | WA
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Zip | 99208
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Country | US
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Telephone | 509-326-6401
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Fax | 509-325-5986
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Provider Business Mailing Address
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Address Line | 212 CENTRAL AVE SUITE 215 HANGER CLINIC
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City | SPOKANE
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State | WA
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Zip | 99208
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Country | US
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Telephone | 509-326-6401
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Fax | 509-325-5986
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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 | 222Z00000X
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Taxonomy Name | Orthotist
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License Number | 0100000073
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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License Number | PS00000074
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License Number State | WA
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