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General NPI Number Information
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NPI Number | 1245200955
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Entity Type | Organization
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Legal Business Name | K.V.H., INCORPORATED
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 15602 MAIN ST NE SUITE 210
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City | DUVALL
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State | WA
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Zip | 98019-8524
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Country | US
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Telephone | 425-788-2644
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Fax | 425-788-2645
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Provider Business Mailing Address
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Address Line | PO BOX 459
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City | DUVALL
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State | WA
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Zip | 98019-0459
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Country | US
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Telephone | 425-788-2644
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Fax | 425-788-2645
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Authorized Official
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Title or Position | PRESIDENT
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Name | KARI DOUGLAS
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Credential |
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Telephone | 425-788-2644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 4782
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License Number State | WA
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