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General NPI Number Information
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NPI Number | 1053486910
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Entity Type | Individual
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Provider Name | DEBORAH ROLAND KINTON MS, RD, CD
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Gender | Female
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 10501 MERIDIAN AVE N
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City | SEATTLE
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State | WA
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Zip | 98133-9509
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Country | US
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Telephone | 206-296-4990
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Fax |
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Provider Business Mailing Address
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Address Line | 6116 NE 188TH PL
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City | KENMORE
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State | WA
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Zip | 98028-3212
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Country | US
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Telephone | 425-483-0903
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DI00000810
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License Number State | WA
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