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General NPI Number Information
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NPI Number | 1497067953
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Entity Type | Individual
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Provider Name | MICHAEL J NASH M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/12/2010
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Last Update Date | 07/12/2010
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Provider Practice Location Address
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Address Line | 4815 N ASSEMBLY ST
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City | SPOKANE
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State | WA
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Zip | 99205-6185
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Country | US
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Telephone | 509-434-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 4777 WHITWORTH AVE S UNIT H101
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City | RENTON
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State | WA
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Zip | 98055-8352
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Country | US
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Telephone | 509-475-1609
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 177909-1205
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License Number State | UT
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