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General NPI Number Information
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NPI Number | 1518167923
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Entity Type | Organization
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Legal Business Name | SPOKANE SPINE CENTER PC
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Dates
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Enumeration Date | 07/23/2007
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Last Update Date | 05/15/2020
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Provider Practice Location Address
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Address Line | 124 E ROWAN AVE SUITE 202
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City | SPOKANE
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State | WA
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Zip | 99207-1214
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Country | US
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Telephone | 509-487-6222
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Fax | 509-487-6333
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Provider Business Mailing Address
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Address Line | 124 E ROWAN AVE SUITE 202
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City | SPOKANE
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State | WA
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Zip | 99207-1214
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Country | US
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Telephone | 509-487-6222
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Fax | 509-487-6333
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Authorized Official
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Title or Position | CHIROPRACTOR/BUSINESS OWNER
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Name | DR. ROBERT G HADDAD
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Credential | D.C.
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Telephone | 509-487-6222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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