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General NPI Number Information
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NPI Number | 1396823811
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Entity Type | Individual
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Provider Name | JASON A MOUNTS M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 09/21/2021
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Provider Practice Location Address
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Address Line | 101 W 8TH AVE
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City | SPOKANE
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State | WA
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Zip | 99204-2307
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Country | US
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Telephone | 509-474-5690
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Fax |
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Provider Business Mailing Address
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Address Line | 8521 S SAGEWOOD RD
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City | SPOKANE
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State | WA
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Zip | 99223-9272
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Country | US
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Telephone | 509-979-6930
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 170351
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License Number State | CA
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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 | MD60150791
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | MD60150791
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | 0101236076
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0101236076
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License Number State | VA
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