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General NPI Number Information
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NPI Number | 1346499803
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Entity Type | Individual
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Provider Name | KATHLEEN LOUISE BEDFORD RPH
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Gender | Female
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Dates
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Enumeration Date | 09/09/2008
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Last Update Date | 09/09/2008
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Provider Practice Location Address
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Address Line | 8155 SW HALL BLVD
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City | BEAVERTON
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State | OR
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Zip | 97008-6416
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Country | US
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Telephone | 503-643-3443
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Fax | 503-643-4309
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Provider Business Mailing Address
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Address Line | 14790 NW OAKHILLS DR
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City | BEAVERTON
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State | OR
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Zip | 97006-5523
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Country | US
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Telephone | 503-617-0274
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Fax | 503-643-4309
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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 | 7975
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License Number State | OR
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