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NPI 1922739200

NPI 1922739200 : KALINA HARRELL OD : SPOKANE VALLEY, WA

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General NPI Number Information
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    NPI Number           |    1922739200
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    Entity Type          |    Individual 
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    Provider Name        |    KALINA HARRELL OD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/18/2022
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    Last Update Date     |    03/05/2025
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Provider Practice Location Address
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    Address Line         |    604 S SULLIVAN RD STE D 
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    City                 |    SPOKANE VALLEY
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    State                |    WA
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    Zip                  |    99037-5129
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    Country              |    US
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    Telephone            |    509-425-0335
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    Fax                  |    509-425-0339
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Provider Business Mailing Address
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    Address Line         |    14700 E INDIANA AVE SPC 1008 
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    City                 |    SPOKANE VALLEY
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    State                |    WA
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    Zip                  |    99216-1841
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    Country              |    US
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    Telephone            |    509-596-9880
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    61298078
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    License Number State |    WA
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