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General NPI Number Information
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NPI Number | 1639554330
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Entity Type | Individual
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Provider Name | JOSEPH LABRUM M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/23/2015
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Last Update Date | 09/09/2021
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Provider Practice Location Address
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Address Line | 16201 E INDIANA AVE STE 5300
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City | SPOKANE VALLEY
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State | WA
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Zip | 99216-1882
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Country | US
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Telephone | 509-530-5420
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Fax |
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Provider Business Mailing Address
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Address Line | 16201 E INDIANA AVE STE 5300
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City | SPOKANE VALLEY
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State | WA
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Zip | 99216-1882
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Country | US
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Telephone |
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A146995
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 61177297
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License Number State | WA
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