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General NPI Number Information
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NPI Number | 1982473799
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Entity Type | Organization
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Legal Business Name | HEALWELL MEDICAL WASHINGTON PLLC
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Dates
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Enumeration Date | 12/21/2023
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 522 W RIVERSIDE AVE STE N
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City | SPOKANE
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State | WA
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Zip | 99201-0580
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Country | US
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Telephone | 877-694-8080
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Fax | 877-694-0380
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Provider Business Mailing Address
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Address Line | 522 W RIVERSIDE AVE STE N
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City | SPOKANE
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State | WA
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Zip | 99201-0580
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Country | US
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Telephone | 877-694-8080
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Fax | 877-694-0380
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Authorized Official
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Title or Position | OWNER
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Name | QASIM BARRA
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Credential | MD
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Telephone | 909-528-5880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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