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General NPI Number Information
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NPI Number | 1932680949
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Entity Type | Organization
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Legal Business Name | SPOKANE PEDIATRICS PLLC
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Dates
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Enumeration Date | 08/27/2018
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Last Update Date | 08/27/2018
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Provider Practice Location Address
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Address Line | 315 W 9TH AVE STE 200
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City | SPOKANE
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State | WA
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Zip | 99204
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Country | US
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Telephone | 509-990-6249
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Fax |
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Provider Business Mailing Address
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Address Line | 315 W 9TH AVE STE 200
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City | SPOKANE
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State | WA
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Zip | 99204-2501
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ANNETTE J SEAY
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Credential |
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Telephone | 509-990-6249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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