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General NPI Number Information
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NPI Number | 1578443628
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Entity Type | Individual
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Provider Name | UNIQUE ANNALISE WOOD-MILAM
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Gender | Female
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 3012 N NEVADA ST STE 1
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City | SPOKANE
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State | WA
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Zip | 99207-2800
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Country | US
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Telephone | 503-741-0440
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Fax | 509-206-9500
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Provider Business Mailing Address
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Address Line | 815 W BELLWOOD DR APT 45
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City | SPOKANE
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State | WA
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Zip | 99218-2860
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Country | US
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Telephone | 503-741-0440
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Fax | 509-206-9500
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | WA
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