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General NPI Number Information
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NPI Number | 1982196960
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Entity Type | Individual
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Provider Name | MEGAN MITCHELL
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Gender | Female
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Dates
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Enumeration Date | 06/05/2018
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 9631 N NEVADA ST STE 210
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City | SPOKANE
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State | WA
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Zip | 99218-1197
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Country | US
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Telephone | 509-319-2430
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Fax |
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Provider Business Mailing Address
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Address Line | 1223 W CANDLEWOOD CT
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City | SPOKANE
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State | WA
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Zip | 99218-2970
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Country | US
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Telephone | 209-499-4808
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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 | PA.PA.70075122
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License Number State | WA
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