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General NPI Number Information
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NPI Number | 1497562052
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Entity Type | Individual
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Provider Name | KATHERINE MICHELLE BLUME ARNP
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Gender | Female
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Dates
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Enumeration Date | 12/16/2024
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 220 E ROWAN AVE STE 300
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City | SPOKANE
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State | WA
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Zip | 99207-1203
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Country | US
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Telephone | 509-489-3554
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Fax | 509-489-3558
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Provider Business Mailing Address
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Address Line | 617 S ARTIES LN
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City | SPOKANE VALLEY
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State | WA
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Zip | 99016-7754
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Country | US
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Telephone | 208-503-0967
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61627328
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License Number State | WA
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