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General NPI Number Information
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NPI Number | 1164042271
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Entity Type | Individual
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Provider Name | JAIMEE KARTCHNER FNP
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Gender | Female
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Dates
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Enumeration Date | 04/18/2020
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Last Update Date | 04/18/2020
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Provider Practice Location Address
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Address Line | 7201 W GRANDRIDGE BLVD
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City | KENNEWICK
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State | WA
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Zip | 99336-6709
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Country | US
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Telephone | 509-221-6900
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Fax |
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Provider Business Mailing Address
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Address Line | 2414 ROAD 88
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City | PASCO
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State | WA
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Zip | 99301-1727
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Country | US
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Telephone | 509-761-0679
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP61049574
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License Number State | WA
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