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General NPI Number Information
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NPI Number | 1811399660
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Entity Type | Individual
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Provider Name | KATHERINE ZIWISKY
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Gender | Female
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Dates
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Enumeration Date | 09/24/2014
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Last Update Date | 04/25/2022
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Provider Practice Location Address
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Address Line | 4033 TALBOT RD S STE 570
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City | RENTON
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State | WA
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Zip | 98055-5700
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Country | US
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Telephone | 425-690-3487
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Fax | 425-690-9087
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Provider Business Mailing Address
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Address Line | 4033 TALBOT RD S STE 570
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City | RENTON
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State | WA
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Zip | 98055-5700
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Country | US
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Telephone | 425-690-3487
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Fax | 425-690-9087
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 085005136
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 53336
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA61249152
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License Number State | WA
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