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General NPI Number Information
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NPI Number | 1629486311
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Entity Type | Individual
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Provider Name | JULIA ANNE SANFORD BIGGERSTAFF M.S., PH.D.
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Gender | Female
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Dates
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Enumeration Date | 07/26/2014
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Last Update Date | 07/26/2014
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Provider Practice Location Address
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Address Line | 4355 W EMERALD ST SUITE 140
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City | BOISE
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State | ID
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Zip | 83706-2050
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Country | US
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Telephone | 509-993-9311
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Fax |
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Provider Business Mailing Address
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Address Line | 2315 W 1ST AVE
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City | SPOKANE
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State | WA
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Zip | 99201-5805
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Country | US
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Telephone | 509-993-9311
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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 | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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