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General NPI Number Information
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NPI Number | 1326623471
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Entity Type | Organization
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Legal Business Name | FRAME FACTORY INC
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Dates
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Enumeration Date | 03/10/2021
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Last Update Date | 03/10/2021
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Provider Practice Location Address
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Address Line | 2933 E 29TH AVE
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City | SPOKANE
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State | WA
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Zip | 99223-4811
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Country | US
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Telephone | 509-624-5277
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Fax |
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Provider Business Mailing Address
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Address Line | 2933 E 29TH AVE
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City | SPOKANE
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State | WA
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Zip | 99223-4811
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Country | US
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Telephone | 509-624-5277
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SEAN MINDERMAN
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Credential | D.O.
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Telephone | 509-624-5277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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