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General NPI Number Information
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NPI Number | 1962667741
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Entity Type | Organization
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Legal Business Name | WILLIAM A. WRAY MD, PLLC
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Dates
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Enumeration Date | 07/22/2008
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Last Update Date | 04/23/2010
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Provider Practice Location Address
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Address Line | 5901 N LIDGERWOOD ST SUITE 118
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City | SPOKANE
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State | WA
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Zip | 99208-5095
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Country | US
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Telephone | 509-484-4591
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Fax | 509-484-7882
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Provider Business Mailing Address
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Address Line | 5901 N LIDGERWOOD ST SUITE 118
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City | SPOKANE
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State | WA
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Zip | 99208-5095
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Country | US
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Telephone | 509-484-4591
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Fax | 509-484-7882
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. WILLIAM ANDREW WRAY
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Credential | MD
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Telephone | 509-484-4591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 00030912MD
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License Number State | WA
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