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General NPI Number Information
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NPI Number | 1629666029
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Entity Type | Organization
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Legal Business Name | PREVENTION NW
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Dates
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Enumeration Date | 01/02/2021
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Last Update Date | 02/06/2023
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Provider Practice Location Address
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Address Line | 17110 E DAYBREAK LN
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City | SPOKANE VALLEY
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State | WA
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Zip | 99016-8767
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Country | US
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Telephone | 509-475-1347
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Fax |
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Provider Business Mailing Address
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Address Line | 17110 E DAYBREAK LN
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City | SPOKANE VALLEY
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State | WA
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Zip | 99016-8767
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Country | US
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Telephone | 509-475-1347
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Fax |
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | DR. JILL HARVEY
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Credential | PHARMD
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Telephone | 509-475-1347
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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