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General NPI Number Information
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NPI Number | 1093126567
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Entity Type | Individual
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Provider Name | GARY DALE KIRSCHNER NA-R, NA-C, RT
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Gender | Female
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Dates
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Enumeration Date | 05/18/2014
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Last Update Date | 05/18/2014
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Provider Practice Location Address
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Address Line | 24230 85TH AVE SE
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City | WOODINVILLE
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State | WA
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Zip | 98072-9525
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Country | US
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Telephone | 206-618-1803
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Fax |
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Provider Business Mailing Address
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Address Line | 24230 85TH AVE SE
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City | WOODINVILLE
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State | WA
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Zip | 98072-9525
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Country | US
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Telephone | 206-618-1803
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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 | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number | XT60472548
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number | NC60326425
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | WA
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