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General NPI Number Information
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NPI Number | 1992043152
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Entity Type | Organization
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Legal Business Name | VITALANT
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Dates
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Enumeration Date | 01/23/2013
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 210 W CATALDO AVE
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City | SPOKANE
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State | WA
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Zip | 99201-2217
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Country | US
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Telephone | 509-624-0151
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Fax | 509-232-4528
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Provider Business Mailing Address
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Address Line | 210 W CATALDO AVE
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City | SPOKANE
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State | WA
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Zip | 99201-2217
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Country | US
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Telephone | 509-624-0151
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Fax | 509-232-4528
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Authorized Official
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Title or Position | CHIEF LEGAL & RISK OFFICER
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Name | BHAVI A SHAH
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Credential |
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Telephone | 480-675-5653
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 50D0661599
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License Number State | WA
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