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General NPI Number Information
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NPI Number | 1366216806
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Entity Type | Individual
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Provider Name | MICHAEL HARPER
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Gender | Male
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Dates
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Enumeration Date | 11/14/2023
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Last Update Date | 04/23/2024
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Provider Practice Location Address
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Address Line | 12104 E MAIN AVE
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City | SPOKANE VALLEY
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State | WA
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Zip | 99206-6113
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Country | US
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Telephone | 866-904-7721
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Fax |
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Provider Business Mailing Address
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Address Line | 3901 W COURT ST
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City | PASCO
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State | WA
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Zip | 99301-2776
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Country | US
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Telephone | 509-270-3058
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61497252
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License Number State | WA
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