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General NPI Number Information
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NPI Number | 1538514898
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Entity Type | Individual
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Provider Name | TONYA RISHER
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Gender | Female
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Dates
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Enumeration Date | 04/25/2016
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Last Update Date | 04/25/2016
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Provider Practice Location Address
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Address Line | 7604 NE 5TH AVE
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City | VANCOUVER
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State | WA
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Zip | 98665-8204
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Country | US
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Telephone | 360-314-4380
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Fax |
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Provider Business Mailing Address
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Address Line | 1214 E 29TH ST
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City | VANCOUVER
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State | WA
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Zip | 98663-2803
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Country | US
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Telephone | 360-921-2560
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MA60636526
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License Number State | WA
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