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General NPI Number Information
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NPI Number | 1073823936
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Entity Type | Individual
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Provider Name | KATHERINE JONES
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Gender | Female
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Dates
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Enumeration Date | 10/13/2010
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Last Update Date | 10/13/2010
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Provider Practice Location Address
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Address Line | 912 N 1RST ST
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City | RENTON
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State | WA
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Zip | 98057-5759
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Country | US
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Telephone | 206-930-9508
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Fax |
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Provider Business Mailing Address
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Address Line | 912 NORTH 1RST STREET
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City | RENTON
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State | WA
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Zip | 98057
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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 | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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