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General NPI Number Information
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NPI Number | 1639146285
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Entity Type | Individual
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Provider Name | BRIAN J PADRTA M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/02/2006
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 212 E CENTRAL AVE STE 140
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City | SPOKANE
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State | WA
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Zip | 99208-6289
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Country | US
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Telephone | 509-465-1300
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Fax | 509-465-1313
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Provider Business Mailing Address
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Address Line | 601 W 5TH AVE SUITE 400
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City | SPOKANE
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State | WA
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Zip | 99204-2715
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Country | US
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Telephone | 509-344-2663
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Fax | 509-624-9179
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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 | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | MD00032721
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License Number State | WA
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