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General NPI Number Information
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NPI Number | 1003794496
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Entity Type | Individual
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Provider Name | KIMVY ANGELA KHONG PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 1201 S MILLER ST
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City | WENATCHEE
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State | WA
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Zip | 98801-3201
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Country | US
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Telephone | 509-433-3365
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Fax |
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Provider Business Mailing Address
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Address Line | 615 PIERE ST APT C309
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City | WENATCHEE
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State | WA
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Zip | 98801-6160
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Country | US
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Telephone | 206-551-8706
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | IR61058314
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License Number State | WA
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