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General NPI Number Information
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NPI Number | 1275670572
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Entity Type | Organization
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Legal Business Name | KINDERING CENTER
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 09/09/2009
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Provider Practice Location Address
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Address Line | 16120 NE 8TH ST
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City | BELLEVUE
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State | WA
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Zip | 98008-3937
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Country | US
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Telephone | 425-747-4004
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Fax | 425-747-1069
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Provider Business Mailing Address
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Address Line | 16120 NE 8TH ST
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City | BELLEVUE
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State | WA
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Zip | 98008-3937
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Country | US
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Telephone | 425-747-4004
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Fax | 425-747-1069
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Authorized Official
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Title or Position | INSURANCE ADMINISTRATOR
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Name | ANGELA TRAVELSTEAD
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Credential |
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Telephone | 425-653-4308
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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 | 601137919
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License Number State | WA
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