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General NPI Number Information
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NPI Number | 1750688404
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Entity Type | Organization
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Legal Business Name | KRISTEN E FLEMMER MD PC
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Dates
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Enumeration Date | 02/15/2011
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Last Update Date | 04/04/2011
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Provider Practice Location Address
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Address Line | 333 SE 7TH AVE STE 5550
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City | HILLSBORO
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State | OR
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Zip | 97123-5193
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Country | US
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Telephone | 503-681-4273
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Fax | 503-681-1953
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Provider Business Mailing Address
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Address Line | 333 SE 7TH AVE STE 5550
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City | HILLSBORO
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State | OR
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Zip | 97123-5193
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Country | US
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Telephone | 503-681-4273
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Fax | 503-681-1953
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Authorized Official
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Title or Position | PRESIDENT
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Name | KRISTEN ELIZABETH FLEMMER
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Credential | M.D
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Telephone | 503-681-4273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD18550
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License Number State | OR
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