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General NPI Number Information
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NPI Number | 1902723083
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Entity Type | Organization
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Legal Business Name | SKIFT METABOLIC, PLLC
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Dates
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Enumeration Date | 06/30/2026
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Last Update Date | 06/30/2026
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Provider Practice Location Address
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Address Line | 522 W RIVERSIDE AVE # 7845
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City | SPOKANE
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State | WA
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Zip | 99201-0580
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Country | US
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Telephone | 509-210-2722
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Fax |
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Provider Business Mailing Address
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Address Line | 522 W RIVERSIDE AVE # 7845
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City | SPOKANE
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State | WA
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Zip | 99201-0580
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Country | US
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Telephone | 509-210-2722
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM CLARK SMITH
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Credential | PA-C
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Telephone | 925-826-2098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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