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General NPI Number Information
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NPI Number | 1487516555
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Entity Type | Organization
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Legal Business Name | WESTERN MEDICAL RESOURCES, LLC
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Dates
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Enumeration Date | 11/26/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 1016 N 4TH AVE STE D102
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City | PASCO
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State | WA
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Zip | 99301-3706
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Country | US
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Telephone | 509-545-3564
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Fax | 509-543-2920
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Provider Business Mailing Address
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Address Line | 1016 N 4TH AVE STE D102
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City | PASCO
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State | WA
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Zip | 99301-3706
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Country | US
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Telephone | 509-545-3564
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Fax | 509-543-2920
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Authorized Official
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Title or Position | PHYSICIAN ASSISTANT
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Name | ROBERT MITCHELL
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Credential | PA-C
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Telephone | 509-545-3564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2400X
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Taxonomy Name | Prison Health Clinic/Center
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License Number |
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License Number State |
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