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General NPI Number Information
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NPI Number | 1184702862
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Entity Type | Individual
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Provider Name | FRANCES DERNBACH M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 925 STEVENS DR STE. 3A
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City | RICHLAND
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State | WA
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Zip | 99352-3523
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Country | US
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Telephone | 509-946-6565
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Fax | 509-946-0998
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Provider Business Mailing Address
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Address Line | 925 STEVENS DR STE 3A
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City | RICHLAND
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State | WA
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Zip | 99352
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Country | US
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Telephone | 509-946-6565
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Fax | 509-946-0998
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD00031280
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License Number State | WA
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