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General NPI Number Information
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NPI Number | 1487813309
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Entity Type | Individual
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Provider Name | ALDEN ROBERT WEBB D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/05/2008
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 2110 N MOLTER RD STE 112
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City | LIBERTY LAKE
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State | WA
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Zip | 99019-9811
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Country | US
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Telephone | 208-277-9704
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Fax | 208-277-9704
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Provider Business Mailing Address
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Address Line | 2110 N MOLTER RD STE 112
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City | LIBERTY LAKE
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State | WA
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Zip | 99019-9811
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Country | US
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Telephone | 208-277-9704
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Fax | 208-277-9704
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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 | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | OP60276418
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 11013946A
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License Number State | IN
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