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General NPI Number Information
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NPI Number | 1619359643
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Entity Type | Individual
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Provider Name | KRISTEN VALDEZ DPT
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Gender | Female
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Dates
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Enumeration Date | 06/25/2015
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Last Update Date | 12/13/2019
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Provider Practice Location Address
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Address Line | 925 STEVENS DR STE 1E
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City | RICHLAND
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State | WA
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Zip | 99352-3523
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Country | US
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Telephone | 509-942-8474
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Fax |
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Provider Business Mailing Address
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Address Line | 4007 KEENE RD
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City | RICHLAND
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State | WA
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Zip | 99352-7775
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Country | US
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Telephone | 262-496-2286
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 12984
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT60293944
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License Number State | WA
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