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General NPI Number Information
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NPI Number | 1568777068
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Entity Type | Individual
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Provider Name | KATHLEEN NAJDEK REGISTERED NURSE
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Gender | Female
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Dates
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Enumeration Date | 08/10/2010
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Last Update Date | 07/08/2011
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Provider Practice Location Address
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Address Line | 12000 SW MAIN ST
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City | TIGARD
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State | OR
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Zip | 97223-6218
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Country | US
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Telephone | 503-347-8042
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Fax | 503-579-9344
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Provider Business Mailing Address
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Address Line | PO BOX 23933
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City | TIGARD
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State | OR
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Zip | 97281-3933
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Country | US
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Telephone |
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 60099817
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 076036037RN
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | TSPA PP-12
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License Number State | OR
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