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General NPI Number Information
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NPI Number | 1952440984
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Entity Type | Individual
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Provider Name | KATHERINE RUTH GENTRY MD
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Gender | Female
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 03/28/2011
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Provider Practice Location Address
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Address Line | 4800 SAND POINT WAY NE
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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 | 206-987-2518
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Fax |
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Provider Business Mailing Address
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Address Line | 4500 SAND POINT WAY NE STE 100 PO BOX 50010
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City | SEATTLE
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State | WA
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Zip | 98105-3954
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Country | US
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Telephone | 206-987-8450
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Fax | 206-987-8484
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD 60147460
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License Number State | WA
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