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General NPI Number Information
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NPI Number | 1346433166
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Entity Type | Individual
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Provider Name | KATHERINE CHUBINSKAYA MD
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Gender | Female
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Dates
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Enumeration Date | 08/24/2007
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Last Update Date | 12/15/2021
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Provider Practice Location Address
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Address Line | 2312 NE 129TH ST STE 120
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City | VANCOUVER
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State | WA
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Zip | 98686-3236
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Country | US
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Telephone | 360-546-8900
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Fax | 360-546-8090
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Provider Business Mailing Address
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Address Line | PO BOX 1600
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City | VANCOUVER
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State | WA
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Zip | 98668-1600
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Country | US
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Telephone | 360-514-3148
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Fax | 360-514-3590
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | MD00043678
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License Number State | WA
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