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General NPI Number Information
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NPI Number | 1417214420
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Entity Type | Individual
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Provider Name | NATHANAEL DAVID GAY M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/15/2012
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 601 S SHERMAN ST
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City | SPOKANE
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State | WA
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Zip | 99202-1311
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Country | US
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Telephone | 509-228-1000
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Fax | 509-252-9300
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Provider Business Mailing Address
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Address Line | 1204 N VERCLER RD
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City | SPOKANE VALLEY
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State | WA
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Zip | 99216-1020
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Country | US
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Telephone | 509-228-1000
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Fax | 509-252-9300
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD61511710
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | M14104
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License Number State | ID
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