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General NPI Number Information
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NPI Number | 1679794374
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Entity Type | Organization
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Legal Business Name | EHS URGENT CARE
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3016 E 57TH AVE SUITE 24
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City | SPOKANE
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State | WA
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Zip | 99223-7036
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Country | US
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Telephone | 509-448-6699
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Fax | 509-448-6767
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Provider Business Mailing Address
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Address Line | PO BOX 94367
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City | SEATTLE
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State | WA
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Zip | 98124-6667
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Country | US
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Telephone | 509-922-9254
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Fax | 509-922-7294
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Authorized Official
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Title or Position | DIRECTOR, PRACTICE MANAGEMENT
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Name | MR. PETER D BERGER
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Credential |
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Telephone | 509-473-3643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | MTS-3787
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License Number State | WA
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