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General NPI Number Information
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NPI Number | 1659746857
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Entity Type | Organization
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Legal Business Name | RIVERBEND PSYCHIATRY
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Dates
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Enumeration Date | 12/14/2015
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Last Update Date | 12/14/2015
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Provider Practice Location Address
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Address Line | 528 E SPOKANE FALLS BLVD SUITE 26A
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City | SPOKANE
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State | WA
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Zip | 99202-5081
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Country | US
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Telephone | 509-991-6723
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Fax |
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Provider Business Mailing Address
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Address Line | 528 E SPOKANE FALLS BLVD SUITE 26A
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City | SPOKANE
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State | WA
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Zip | 99202-5081
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Country | US
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Telephone | 509-991-6723
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | NATALIE GUTHAS
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Credential |
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Telephone | 509-991-6723
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | OP00001181
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License Number State | WA
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