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General NPI Number Information
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NPI Number | 1841006863
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Entity Type | Individual
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Provider Name | DANIELLE LINH DO
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Gender | Female
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Dates
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Enumeration Date | 12/04/2024
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 2105 E WELLESLEY AVE
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City | SPOKANE
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State | WA
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Zip | 99207-4271
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Country | US
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Telephone | 509-483-0342
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Fax |
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Provider Business Mailing Address
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Address Line | 4707 E UPRIVER DR APT 4201
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City | SPOKANE
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State | WA
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Zip | 99217-7081
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Country | US
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Telephone | 509-217-5141
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH61576118
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License Number State | WA
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