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NPI 1639056526

NPI 1639056526 : KRISTINE NOELLE GINGER LPN : AUBURN, WA

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General NPI Number Information
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    NPI Number           |    1639056526
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    Entity Type          |    Individual 
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    Provider Name        |    KRISTINE NOELLE GINGER LPN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/20/2025
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    Last Update Date     |    08/20/2025
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Provider Practice Location Address
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    Address Line         |    3320 AUBURN WAY N 
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    City                 |    AUBURN
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    State                |    WA
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    Zip                  |    98002-1805
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    Country              |    US
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    Telephone            |    253-999-5750
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8530 STEILACOOM RD SE UNIT 14 
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    City                 |    OLYMPIA
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    State                |    WA
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    Zip                  |    98513-1787
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    Country              |    US
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    Telephone            |    253-240-2113
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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        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    LP60122349
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    License Number State |    WA
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