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General NPI Number Information
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NPI Number | 1528310893
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Entity Type | Organization
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Legal Business Name | THE DOCTORS CLINIC OF SPOKANE
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Dates
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Enumeration Date | 10/10/2012
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Last Update Date | 10/10/2012
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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 | 99207-1202
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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 | 220 E ROWAN AVE STE 300
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City | SPOKANE
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State | WA
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Zip | 99207-1202
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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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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | TERRI FITCH
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Credential |
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Telephone | 509-489-3554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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