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General NPI Number Information
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NPI Number | 1346247293
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Entity Type | Individual
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Provider Name | MATTHEW EVAN FEWEL MD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 11/08/2025
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Provider Practice Location Address
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Address Line | 1321 COLUMBIA PARK TRL STE A
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City | RICHLAND
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State | WA
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Zip | 99352-4735
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Country | US
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Telephone | 509-378-0008
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Fax |
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Provider Business Mailing Address
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Address Line | 1321 COLUMBIA PARK TRL STE A
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City | RICHLAND
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State | WA
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Zip | 99352-4735
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Country | US
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Telephone | 509-268-2424
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Fax | 509-713-7012
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | MD00044896
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License Number State | WA
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