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General NPI Number Information
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NPI Number | 1902829245
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Entity Type | Individual
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Provider Name | KATHLEEN MARY TONTI-HORNE M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 307 W 6TH AVE
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City | SPOKANE
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State | WA
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Zip | 99204-2539
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Country | US
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Telephone | 833-411-5469
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Fax | 855-411-5469
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Provider Business Mailing Address
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Address Line | 307 W 6TH AVE
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City | SPOKANE
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State | WA
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Zip | 99204-2539
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Country | US
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Telephone | 833-411-5469
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Fax | 855-411-5469
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD61276666
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License Number State | WA
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