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General NPI Number Information
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NPI Number | 1871740571
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Entity Type | Organization
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Legal Business Name | TRANSITION ASSOCIATES PS
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Dates
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Enumeration Date | 08/25/2008
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Last Update Date | 10/16/2008
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Provider Practice Location Address
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Address Line | 1704 W 11TH AVE
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City | SPOKANE
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State | WA
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Zip | 99204-4110
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Country | US
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Telephone | 509-747-6401
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9358
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City | SPOKANE
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State | WA
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Zip | 99209-9358
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Country | US
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Telephone | 509-747-3697
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Fax | 509-624-7482
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Authorized Official
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Title or Position | PSYCHOLOGIST/MEMBER
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Name | MR. GILBERT C MILNER
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Credential | MD
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Telephone | 509-747-6401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD00022638
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License Number State | WA
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