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NPI 1366318065

NPI 1366318065 : WEECARE PEDIATRICS PLLC : SPOKANE, WA

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General NPI Number Information
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    NPI Number           |    1366318065
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    Entity Type          |    Organization 
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    Legal Business Name  |    WEECARE PEDIATRICS PLLC 
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Dates
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    Enumeration Date     |    10/11/2025
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    Last Update Date     |    10/11/2025
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Provider Practice Location Address
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    Address Line         |    1717 W FRANCIS AVE STE 104 
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    City                 |    SPOKANE
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    State                |    WA
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    Zip                  |    99205-6858
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    Country              |    US
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    Telephone            |    509-230-3914
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    Fax                  |    509-464-6959
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Provider Business Mailing Address
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    Address Line         |    9705 W NELSON DR 
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    City                 |    NINE MILE FALLS
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    State                |    WA
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    Zip                  |    99026-8651
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    Country              |    US
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    Telephone            |    509-230-3914
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    Fax                  |    509-464-6959
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Authorized Official
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    Title or Position    |    ARNP
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    Name                 |     BRENDA M STOUDT 
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    Credential           |    ARNP
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    Telephone            |    509-230-3914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    
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    License Number State |    
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