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General NPI Number Information
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NPI Number | 1407280704
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Entity Type | Organization
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Legal Business Name | KEVIN BICHLER
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Dates
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Enumeration Date | 08/23/2013
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Last Update Date | 08/23/2013
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Provider Practice Location Address
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Address Line | 12418 E SALTESE AVE
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City | SPOKANE VALLEY
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State | WA
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Zip | 99216-0357
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Country | US
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Telephone | 509-822-7719
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1265
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City | SPOKANE VALLEY
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State | WA
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Zip | 99037-1265
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Country | US
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Telephone | 509-822-7719
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JANICE JORDAN
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Credential | PA
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Telephone | 509-822-7719
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA60125661
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License Number State | WA
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