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General NPI Number Information
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NPI Number | 1467751628
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Entity Type | Organization
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Legal Business Name | KINDLE HEALTH LLC
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Dates
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Enumeration Date | 03/26/2011
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Last Update Date | 03/26/2011
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Provider Practice Location Address
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Address Line | 4544 LOPEZ DR
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City | FERNDALE
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State | WA
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Zip | 98248-9529
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Country | US
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Telephone | 360-312-4342
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Fax |
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Provider Business Mailing Address
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Address Line | 4544 LOPEZ DR
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City | FERNDALE
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State | WA
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Zip | 98248-9529
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Country | US
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Telephone | 360-312-4342
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Fax |
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Authorized Official
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Title or Position | DIRECTOR AND PROVIDER
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Name | FAITH RICHARDSON
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Credential | FNP
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Telephone | 360-312-4342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP30006923
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License Number State | WA
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