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General NPI Number Information
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NPI Number | 1427553189
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Entity Type | Individual
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Provider Name | CHRISTINA KABA MD
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Gender | Female
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Dates
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Enumeration Date | 03/26/2018
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Last Update Date | 09/09/2021
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Provider Practice Location Address
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Address Line | 10416 5TH AVE NE
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City | SEATTLE
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State | WA
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Zip | 98125-7449
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Country | US
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Telephone | 206-514-6700
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Fax | 206-517-6665
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Provider Business Mailing Address
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Address Line | 10416 5TH AVE NE
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City | SEATTLE
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State | WA
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Zip | 98125-7449
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Country | US
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Telephone | 206-514-6700
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Fax | 206-517-6665
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD61151130
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License Number State | WA
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