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NPI 1477059103

NPI 1477059103 : CHRISTIAN D SEGER : SPOKANE, WA

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General NPI Number Information
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    NPI Number           |    1477059103
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTIAN D SEGER
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/02/2018
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    Last Update Date     |    09/01/2023
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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            |    509-474-3181
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 4069 
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    City                 |    EVERETT
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    State                |    WA
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    Zip                  |    98204-0007
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    Country              |    US
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    Telephone            |    142-540-7100
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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        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    A165231
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    MD61437072
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    License Number State |    WA
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