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General NPI Number Information
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NPI Number | 1831966225
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Entity Type | Individual
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Provider Name | DEBORAH M ORTH DNP-FNP
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Gender | Female
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Dates
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Enumeration Date | 12/06/2023
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Last Update Date | 12/24/2023
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Provider Practice Location Address
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Address Line | 6614 E MAIN AVE
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City | SPOKANE VALLEY
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State | WA
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Zip | 99212-0833
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Country | US
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Telephone | 509-663-1578
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Fax |
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Provider Business Mailing Address
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Address Line | 10910 E TALLMAN RD
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City | CHATTAROY
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State | WA
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Zip | 99003-8532
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Country | US
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Telephone | 509-688-3360
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP61497236
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License Number State | WA
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