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General NPI Number Information
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NPI Number | 1205217007
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Entity Type | Individual
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Provider Name | KATHERINE WALSH PRATHER MD
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Gender | Female
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Dates
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Enumeration Date | 06/17/2015
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 209 MARTIN LUTHER KING JR WAY
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City | TACOMA
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State | WA
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Zip | 98405-4265
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Country | US
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Telephone | 253-596-3300
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Fax | 253-596-3301
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Provider Business Mailing Address
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Address Line | 1608 S J ST FL 1
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City | TACOMA
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State | WA
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Zip | 98405-4930
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Country | US
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Telephone | 253-274-7501
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Fax | 253-985-6879
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 2015018566
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD60959588
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License Number State | WA
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