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General NPI Number Information
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NPI Number | 1912786625
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Entity Type | Organization
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Legal Business Name | SCHINE HEALTH PLLC
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Dates
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Enumeration Date | 09/22/2023
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 105 N TOWER AVE
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City | CENTRALIA
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State | WA
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Zip | 98531-4206
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Country | US
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Telephone | 360-726-3754
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Fax | 360-925-2865
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Provider Business Mailing Address
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Address Line | 108 N TOWER AVE
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City | CENTRALIA
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State | WA
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Zip | 98531-4220
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Country | US
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Telephone | 360-726-3754
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Fax |
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Authorized Official
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Title or Position | ACCOUNT SPECIALIST
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Name | LAURA L SPENCER-WAGNER
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Credential |
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Telephone | 970-529-3348
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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 |
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License Number State |
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