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General NPI Number Information
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NPI Number | 1487671194
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Entity Type | Organization
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Legal Business Name | WASHINGTON STATE UNIVERSITY
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 829 W BROADWAY AVE
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City | SPOKANE
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State | WA
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Zip | 99201-2117
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Country | US
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Telephone | 509-755-7624
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Fax |
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Provider Business Mailing Address
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Address Line | 829 W BROADWAY AVE
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City | SPOKANE
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State | WA
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Zip | 99201-2117
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Country | US
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Telephone | 509-755-7624
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Fax |
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | SHARYL 'KIM' CALAMIA-MCKEE
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Credential |
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Telephone | 509-755-7624
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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