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General NPI Number Information
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NPI Number | 1013843382
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Entity Type | Individual
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Provider Name | KACIE B BISCONER RN
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Gender | Female
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 3003 TIETON DR STE 230
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City | YAKIMA
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State | WA
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Zip | 98902-3684
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Country | US
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Telephone | 509-746-4189
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Fax | 509-249-4460
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Provider Business Mailing Address
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Address Line | 719 N 74TH AVE
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City | YAKIMA
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State | WA
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Zip | 98908-1256
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 60674804
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License Number State | WA
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