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General NPI Number Information
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NPI Number | 1972999738
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Entity Type | Individual
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Provider Name | TARA TOGSTAD PARQUE PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/08/2015
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 62 W 7TH AVE STE 300
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City | SPOKANE
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State | WA
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Zip | 99204-2321
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Country | US
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Telephone | 509-474-2041
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Fax | 509-598-2139
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Provider Business Mailing Address
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Address Line | PO BOX 331
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City | LIBERTY LAKE
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State | WA
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Zip | 99019-0312
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Country | US
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Telephone | 866-747-2455
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA60668550
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License Number State | WA
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