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General NPI Number Information
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NPI Number | 1467816538
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Entity Type | Individual
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Provider Name | KENDRA MALIA HO CHING NP-C
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Gender | Female
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Dates
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Enumeration Date | 04/05/2016
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Last Update Date | 12/11/2018
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Provider Practice Location Address
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Address Line | 4540 UNIVERSITY WAY NE
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City | SEATTLE
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State | WA
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Zip | 98105-4511
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Country | US
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Telephone | 844-966-6777
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Fax | 866-859-8195
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Provider Business Mailing Address
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Address Line | 1455 NW IRVING ST STE 600
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City | PORTLAND
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State | OR
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Zip | 97209-2277
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Country | US
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Telephone | 808-277-7647
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2094
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP60889509
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 77173
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License Number State | HI
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