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General NPI Number Information
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NPI Number | 1386698744
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Entity Type | Individual
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Provider Name | HEATHER E QUINN MD
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Gender | Female
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 123 E INDIANA AVE
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City | SPOKANE
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State | WA
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Zip | 99207-2313
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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 | 500 W FORT ST
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City | BOISE
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State | ID
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Zip | 83702-4501
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Country | US
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Telephone | 208-244-1000
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD60053286
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M9177
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License Number State | ID
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