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General NPI Number Information
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NPI Number | 1134667306
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Entity Type | Organization
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Legal Business Name | AKR MEDICAL PLLC
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Dates
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Enumeration Date | 02/07/2017
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Last Update Date | 07/12/2017
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Provider Practice Location Address
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Address Line | 16701 CLEVELAND ST STE C
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City | REDMOND
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State | WA
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Zip | 98052-0901
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Country | US
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Telephone | 425-658-0658
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Fax | 425-658-5303
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Provider Business Mailing Address
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Address Line | 16701 CLEVELAND ST STE C
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City | REDMOND
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State | WA
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Zip | 98052-0901
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Country | US
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Telephone | 425-658-0658
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Fax | 425-658-5303
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Authorized Official
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Title or Position | MANAGER
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Name | DR. AMY KRISTINE RICHARDSON
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Credential | DPM
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Telephone | 425-658-0658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 604-061-445
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 604-061-445
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number | 604061445
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License Number State | WA
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