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General NPI Number Information
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NPI Number | 1205207107
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Entity Type | Individual
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Provider Name | CHRISTINE KADYKALO N.D.
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Gender | Female
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Dates
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Enumeration Date | 10/18/2015
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Last Update Date | 10/18/2015
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Provider Practice Location Address
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Address Line | 833 SW 11TH AVE SUITE 525
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City | PORTLAND
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State | OR
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Zip | 97205-2125
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Country | US
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Telephone | 503-294-7070
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Fax |
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Provider Business Mailing Address
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Address Line | 27 SE 66TH AVE
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City | PORTLAND
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State | OR
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Zip | 97215-1330
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Country | US
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Telephone | 971-325-2248
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 3056
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License Number State | OR
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