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General NPI Number Information
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NPI Number | 1770631327
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Entity Type | Organization
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Legal Business Name | GILMAN FAMILY PRACTICE, PS
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 01/25/2022
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Provider Practice Location Address
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Address Line | 1414 N VERCLER RD STE 4
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City | SPOKANE VALLEY
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State | WA
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Zip | 99216-1092
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Country | US
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Telephone | 509-924-4681
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Fax | 509-922-7634
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Provider Business Mailing Address
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Address Line | 1414 N VERCLER RD STE 4
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City | SPOKANE VALLEY
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State | WA
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Zip | 99216-1092
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Country | US
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Telephone | 509-924-4681
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Fax | 509-922-7634
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRYCE HUNTER GILMAN
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Credential | DO
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Telephone | 509-924-4681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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