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General NPI Number Information
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NPI Number | 1528456233
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Entity Type | Organization
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Legal Business Name | KADLEC REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 01/05/2015
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 7360 W DESCHUTES AVE KADLEC CLINIC HEMATOLOGY AND ONCOLOGY PHARMACY
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City | KENNEWICK
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State | WA
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Zip | 99336
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Country | US
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Telephone | 509-783-0144
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Fax | 509-783-8244
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Provider Business Mailing Address
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Address Line | PO BOX 31001
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City | PASADENA
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State | CA
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Zip | 91110-4207
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Country | US
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Telephone | 509-783-0144
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Fax | 509-783-8244
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Authorized Official
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Title or Position | ASSISTANT SECRETARY FOR ENROLLMENT
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Name | DONALD WAYNE ANDERSON JR.
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Credential |
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Telephone | 425-358-9786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | PHAR.CF.60510693
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License Number State | WA
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