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General NPI Number Information
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NPI Number | 1952103939
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Entity Type | Organization
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Legal Business Name | SPARROW HEALTH & WELLNESS CLINIC
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 11707 E SPRAGUE AVE STE LL101
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City | SPOKANE VALLEY
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State | WA
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Zip | 99206-6110
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Country | US
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Telephone | 509-506-4600
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Fax | 509-219-3835
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Provider Business Mailing Address
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Address Line | 11707 E SPRAGUE AVE STE LL101
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City | SPOKANE VALLEY
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State | WA
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Zip | 99206-6110
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Country | US
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Telephone | 509-506-4600
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHRISTI NANCE
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Credential | NP
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Telephone | 509-506-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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