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General NPI Number Information
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NPI Number | 1881877983
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Entity Type | Individual
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Provider Name | ERIK JAMES CONDON M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/11/2007
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Last Update Date | 05/10/2021
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Provider Practice Location Address
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Address Line | 101 W 8TH AVE
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City | SPOKANE
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State | WA
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Zip | 99204-2307
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Country | US
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Telephone | 509-474-2073
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Fax | 509-474-6606
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Provider Business Mailing Address
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Address Line | 5020 S JULIA ST
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City | SPOKANE
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State | WA
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Zip | 99223-8605
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Country | US
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Telephone | 336-655-7923
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 2006-01553
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License Number State | NC
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