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General NPI Number Information
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NPI Number | 1679420756
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Entity Type | Individual
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Provider Name | MR. RANDY ALAN NEAL
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Gender | Male
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Dates
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Enumeration Date | 03/16/2026
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Last Update Date | 03/16/2026
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Provider Practice Location Address
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Address Line | 201 W 6TH AVE
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City | SPOKANE
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State | WA
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Zip | 99204-2404
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Country | US
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Telephone | 509-532-2000
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Fax | 509-532-2005
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Provider Business Mailing Address
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Address Line | 3290 N 11TH ST
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City | COEUR D ALENE
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State | ID
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Zip | 83815-5193
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Country | US
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Telephone | 208-719-1898
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | CG70111040
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License Number State | WA
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