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General NPI Number Information
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NPI Number | 1235378530
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Entity Type | Individual
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Provider Name | BRIGITTE S KRANABITL LMT
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Gender | Female
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Dates
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Enumeration Date | 02/10/2009
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Last Update Date | 02/10/2009
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Provider Practice Location Address
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Address Line | 0110 SW BANCROFT ST STE E
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City | PORTLAND
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State | OR
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Zip | 97239-4062
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Country | US
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Telephone | 971-570-9716
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Fax | 503-764-9647
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Provider Business Mailing Address
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Address Line | 0110 SW BANCROFT ST STE E
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City | PORTLAND
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State | OR
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Zip | 97239-4062
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Country | US
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Telephone | 971-570-9716
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Fax | 503-764-9647
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 9306
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 5706
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License Number State | OR
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