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General NPI Number Information
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NPI Number | 1689861262
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Entity Type | Organization
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Legal Business Name | E&M INC., P.S.
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Dates
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Enumeration Date | 09/27/2007
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Last Update Date | 09/27/2007
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Provider Practice Location Address
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Address Line | 711 W JOSEPH AVE
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City | SPOKANE
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State | WA
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Zip | 99205-6409
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Country | US
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Telephone | 509-328-0579
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Fax | 509-328-4806
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Provider Business Mailing Address
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Address Line | 711 W JOSEPH AVE
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City | SPOKANE
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State | WA
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Zip | 99205-6409
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Country | US
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Telephone | 509-328-0579
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Fax | 509-328-4806
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVE N JUKICH
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Credential | D.C.
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Telephone | 509-328-0579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | CH00001132
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License Number State | WA
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