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General NPI Number Information
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NPI Number | 1982121125
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Entity Type | Individual
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Provider Name | CHRISTIAN D GARRIDO PA-C
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Gender | Male
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Dates
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Enumeration Date | 08/28/2017
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 1601 N DIVISION ST STE A
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City | SPOKANE
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State | WA
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Zip | 99207-2427
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Country | US
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Telephone | 509-824-6080
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Fax |
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Provider Business Mailing Address
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Address Line | 8524 W GAGE BLVD BLDG A1 BOX 319
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City | KENNEWICK
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State | WA
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Zip | 99336
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Country | US
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Telephone | 509-591-0070
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA-1845
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA60920248
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | OA60920124
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License Number State | WA
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