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General NPI Number Information
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NPI Number | 1912530106
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Entity Type | Organization
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Legal Business Name | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
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Dates
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Enumeration Date | 02/17/2020
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 201 16TH AVE E
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City | SEATTLE
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State | WA
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Zip | 98112-5226
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Country | US
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Telephone | 205-326-2990
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Fax | 206-326-2139
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Provider Business Mailing Address
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Address Line | 2921 NACHES AVE SW RCA-B1N-04
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City | RENTON
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State | WA
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Zip | 98057
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Country | US
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Telephone | 206-630-2222
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Fax |
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Authorized Official
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Title or Position | PROGRAM MGR, RX REGULATORY
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Name | GAIL ANN ELLIOTT
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Credential |
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Telephone | 206-630-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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