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General NPI Number Information
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NPI Number | 1407937774
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Entity Type | Individual
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Provider Name | LISA VENNER
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Gender | Female
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 15111 E SPRAGUE AVE
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City | SPOKANE VALLEY
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State | WA
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Zip | 99037-8579
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Country | US
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Telephone | 509-927-7547
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Fax |
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Provider Business Mailing Address
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Address Line | 2302 BECKER CT
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City | SPOKANE VALLEY
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State | WA
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Zip | 99037-9366
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Country | US
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Telephone | 509-891-7992
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH00020494
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License Number State | WA
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