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NPI Code Detail

MEDICARE: PATRICIA K SEEBECK RD

MEDICARE: PATRICIA K SEEBECK RD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianDI00000682WA

General Provider Information

NPI Number : 1033139654
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA K SEEBECK RD
Provider Business Mailing Address
First Line : PO BOX 3649
Second Line :
City : SPOKANE
State : WA
Zip : 99220-3649
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 19 N 7TH ST
Second Line :
City : CHENEY
State : WA
Zip : 99004-2220
Country : US
Telephone Number : 509-838-2531
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 07/08/2007

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Directions to “ PATRICIA K SEEBECK RD” Practice Location

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