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General NPI Number Information
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NPI Number | 1346856580
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Entity Type | Individual
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Provider Name | GREGORY KIRK PATERSON
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Gender | Male
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Dates
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Enumeration Date | 09/22/2020
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Last Update Date | 09/22/2020
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Provider Practice Location Address
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Address Line | 5601 E SPRAGUE AVE
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City | SPOKANE VALLEY
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State | WA
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Zip | 99212-0826
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Country | US
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Telephone | 509-842-0002
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Fax | 509-842-0009
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Provider Business Mailing Address
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Address Line | 1809 E ROCKWOOD BLVD
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City | SPOKANE
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State | WA
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Zip | 99203-3848
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Country | US
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Telephone | 509-624-9663
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH00066433
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License Number State | WA
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