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General NPI Number Information
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NPI Number | 1003345521
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Entity Type | Individual
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Provider Name | LEENA KAHLON
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Gender | Female
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 06/08/2017
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Provider Practice Location Address
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Address Line | 12606 NE 95TH ST
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City | VANCOUVER
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State | WA
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Zip | 98682-2398
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Country | US
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Telephone | 503-701-3403
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Fax |
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Provider Business Mailing Address
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Address Line | 17818 NW SOLANO CT
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City | PORTLAND
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State | OR
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Zip | 97229-2237
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Country | US
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Telephone |
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PI-0011719
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State | OR
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