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General NPI Number Information
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NPI Number | 1710045141
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Entity Type | Organization
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Legal Business Name | COLUMBIA NEUROSURGERY & SPINE PLLC
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 833 SWIFT BLVD
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City | RICHLAND
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State | WA
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Zip | 99352-3513
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Country | US
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Telephone | 509-942-3080
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Fax | 509-942-3085
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Provider Business Mailing Address
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Address Line | 833 SWIFT BLVD
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City | RICHLAND
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State | WA
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Zip | 99352-3513
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Country | US
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Telephone | 509-942-3080
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Fax | 509-942-3085
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MRS. TARA L GARRETT REED
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Credential | MS, MBA
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Telephone | 509-942-3080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | MD00044896
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License Number State | WA
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