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General NPI Number Information
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NPI Number | 1366402703
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Entity Type | Organization
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Legal Business Name | NORTHWEST EYECARE & LASER CENTER, P.S
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 09/08/2008
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Provider Practice Location Address
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Address Line | 12120 E MISSION AVE STE 2
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City | SPOKANE VALLEY
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State | WA
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Zip | 99206-5378
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Country | US
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Telephone | 509-927-0700
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Fax | 509-927-7537
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Provider Business Mailing Address
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Address Line | 12120 E MISSION AVE STE 2
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City | SPOKANE VALLEY
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State | WA
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Zip | 99206-5378
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Country | US
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Telephone | 509-927-0700
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Fax | 509-927-7537
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT W HANDER
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Credential | MD
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Telephone | 509-927-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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