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General NPI Number Information
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NPI Number | 1346376357
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Entity Type | Organization
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Legal Business Name | NORTHWEST INTERNAL MEDICINE, PLLC
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 10/10/2007
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Provider Practice Location Address
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Address Line | 801 W 5TH AVE STE 407
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City | SPOKANE
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State | WA
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Zip | 99204-2841
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Country | US
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Telephone | 509-755-0372
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Fax | 509-232-6509
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Provider Business Mailing Address
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Address Line | 801 W 5TH AVE STE 407
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City | SPOKANE
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State | WA
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Zip | 99204-2841
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Country | US
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Telephone | 509-755-0372
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Fax | 509-232-6509
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Authorized Official
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Title or Position | BILLING
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Name | ANNETTE M SOSS
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Credential | CPC
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Telephone | 509-926-1299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD00035833
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License Number State | WA
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