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General NPI Number Information
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NPI Number | 1619614971
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Entity Type | Individual
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Provider Name | DENIS S SINCHENKO
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Gender | Male
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Dates
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Enumeration Date | 05/18/2022
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Last Update Date | 05/18/2022
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Provider Practice Location Address
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Address Line | 706 E SELTICE WAY
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City | POST FALLS
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State | ID
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Zip | 83854-8674
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Country | US
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Telephone | 208-777-4071
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Fax |
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Provider Business Mailing Address
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Address Line | 1208 E QUEEN AVE
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City | SPOKANE
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State | WA
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Zip | 99207-3368
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Country | US
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Telephone | 509-714-3616
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | P9989
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License Number State | ID
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