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General NPI Number Information
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NPI Number | 1497026785
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Entity Type | Individual
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Provider Name | ZANE WESLEY DEWITZ MSW, LICSW, SUDP
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Gender | Male
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Dates
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Enumeration Date | 01/19/2012
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Last Update Date | 02/22/2022
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Provider Practice Location Address
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Address Line | 1523 E 16TH AVE
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City | SPOKANE
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State | WA
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Zip | 99203-3617
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Country | US
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Telephone | 509-995-3125
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Fax | 509-612-7776
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Provider Business Mailing Address
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Address Line | PO BOX 40213
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City | SPOKANE
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State | WA
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Zip | 99220-0903
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Country | US
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Telephone | 509-995-3125
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Fax | 509-612-7776
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CP60494256
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW61176864
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License Number State | WA
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