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General NPI Number Information
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NPI Number | 1497737092
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Entity Type | Individual
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Provider Name | KATHRYN A MOORE PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/18/2005
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Last Update Date | 02/10/2016
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Provider Practice Location Address
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Address Line | 1001 W 2ND AVE
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City | SPOKANE
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State | WA
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Zip | 99201-4503
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Country | US
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Telephone | 509-444-8200
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Fax | 509-835-1210
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Provider Business Mailing Address
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Address Line | 203 N WASHINGTON ST STE 300
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City | SPOKANE
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State | WA
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Zip | 99201-0233
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Country | US
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Telephone | 509-444-8888
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Fax | 509-444-7806
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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