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General NPI Number Information
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NPI Number | 1922237569
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Entity Type | Individual
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Provider Name | LYNDA KEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/02/2009
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Last Update Date | 07/01/2018
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Provider Practice Location Address
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Address Line | 4800 SAND POINT WAY NE M/S M1-13
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City | SEATTLE
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State | WA
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Zip | 98105
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Country | US
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Telephone | 206-987-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 4800 SAND POINT WAY NE M/S M1-13
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City | SEATTLE
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State | WA
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Zip | 98105-3901
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Country | US
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Telephone | 206-987-2000
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD 60327069
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 46167
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 60327069
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License Number State | WA
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