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General NPI Number Information
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NPI Number | 1497209654
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Entity Type | Organization
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Legal Business Name | TRUE NORTH HEALTH SERVICES LLC
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Dates
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Enumeration Date | 08/05/2016
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Last Update Date | 10/27/2016
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Provider Practice Location Address
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Address Line | 5901 N LIDGERWOOD ST 21 B
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City | SPOKANE
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State | WA
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Zip | 99208-5095
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Country | US
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Telephone | 509-473-9313
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Fax | 509-822-7413
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Provider Business Mailing Address
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Address Line | 5901 N LIDGERWOOD ST 21 B
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City | SPOKANE
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State | WA
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Zip | 99208-5095
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Country | US
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Telephone | 509-473-9313
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Fax | 509-822-7413
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MICHELLE SPIVEY
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Credential |
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Telephone | 509-473-9313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | AP60107301
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License Number State | WA
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